Individual
THERESA A YBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 W ANKLAM RD, TUCSON, AZ 85745-2148
(520) 629-9126
(520) 629-9282
Mailing address
2002 W ANKLAM RD, TUCSON, AZ 85745-2148
(520) 629-9126
(520) 629-9282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10125
AZ
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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