Individual
LISA YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6802 E BROADWAY BLVD, TUCSON, AZ 85710-2809
(520) 314-5180
Mailing address
10195 E DESERT SKYLINE WAY, TUCSON, AZ 85747-5143
(559) 707-9550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1811
ND
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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