Individual
MR. JOSHUA LOCKE AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.S.A.C.
Contact information
Practice address
648 S RIVER DR, TEMPE, AZ 85281-3012
(480) 921-4050
(480) 921-2673
Mailing address
1753 E BROADWAY RD, 101-280, TEMPE, AZ 85282-2081
(480) 921-4050
(480) 921-2673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1644
AZ
Other
Enumeration date
05/06/2008
Last updated
05/13/2008
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