Individual
KEVIN CHRISTOPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LASAC
Contact information
Practice address
6424 E GREENWAY PKWY STE 101, SCOTTSDALE, AZ 85254-2045
(480) 877-0406
Mailing address
6928 E GRANDVIEW DR, SCOTTSDALE, AZ 85254-1552
(602) 446-2895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13280
AZ
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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