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Individual

EUSEBIO QUEZADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LIAC

Contact information

Practice address
15650 N BLACK CANYON HWY STE B121, PHOENIX, AZ 85053-4064
(480) 649-3352
(480) 649-3358
Mailing address
8002 W ROMA AVE, PHOENIX, AZ 85033-2207

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-11384
AZ

Other

Enumeration date
02/23/2026
Last updated
02/23/2026
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