Individual
DOUGLAS OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2406 S 24TH ST STE 103, PHOENIX, AZ 85034-6822
(630) 532-3036
(310) 388-5269
Mailing address
3101 N CENTRAL AVE STE 1832266, PHOENIX, AZ 85012-2645
(630) 532-3036
(310) 388-5269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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