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Individual

LISA YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3850 N 16TH ST, CHANDLER, AZ 85226
(520) 796-3832
Mailing address
2830 W DIANA AVE, PHOENIX, AZ 85051-4050
(602) 299-6293
(520) 796-3884

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13315
AZ

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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