Individual
CAROL PREUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
450 W 5TH PL, MESA, AZ 85201-5619
(480) 962-7922
(480) 962-7944
Mailing address
1811 S ALMA SCHOOL RD, STE 160, MESA, AZ 85210-3001
(480) 831-7566
(480) 962-7671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10547
AZ
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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