Individual
MR. RICK W WELLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
1906 W THATCHER BLVD, SAFFORD, AZ 85546-3342
(928) 428-8714
(928) 428-8188
Mailing address
1906 W THATCHER BLVD, SAFFORD, AZ 85546-3342
(928) 428-8714
(928) 428-8188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0459
AZ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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