Individual
DEBORAH L MCCLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAT, LISAC
Contact information
Practice address
1901 N TREKELL RD, CASA GRANDE, AZ 85122-1770
(520) 836-1029
(520) 836-6733
Mailing address
1901 N TREKELL RD, CASA GRANDE, AZ 85122-1770
(520) 836-1029
(520) 836-6733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15098
AZ
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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