Individual
DAVID EMENHISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC, CADAC
Contact information
Practice address
6262 E BROADWAY RD, SUITE 101, MESA, AZ 85206-6101
(480) 664-4053
Mailing address
461 W HOLMES AVE, UNIT 251, MESA, AZ 85210-5157
(480) 664-4053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11423
AZ
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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