Individual
KIRATPAL SINGH SANGHERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
6739 N 63RD AVE FRNT, GLENDALE, AZ 85301-3191
(480) 995-8364
Mailing address
6637 N 58TH DR APT 3, GLENDALE, AZ 85301-3900
(480) 995-8364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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