Individual
STEPHANIE DANYEL WASHINGTONCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 W CHANDLER BLVD # A, CHANDLER, AZ 85225-2548
(480) 764-2863
(480) 907-1561
Mailing address
13401 N 107TH DR, SUN CITY, AZ 85351-2625
(616) 337-6573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAAC-15561
AZ
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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