Individual
MS. HARTATI DONNA RAMSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
3256 W ANGELA DR, PHOENIX, AZ 85053-6606
(480) 341-6274
Mailing address
3256 W ANGELA DR, PHOENIX, AZ 85053-6606
(480) 341-6274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC11816
AZ
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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