Individual
ANDREW SLAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
675 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2023
(520) 426-2058
Mailing address
675 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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