Individual
LOUISE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 N 20TH AVE, 100, PHOENIX, AZ 85015-5101
(602) 254-9701
(602) 252-0830
Mailing address
4220 N 20TH AVE, 100, PHOENIX, AZ 85015-5101
(602) 254-9701
(602) 252-0830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC - 10073
AZ
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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