Individual
DEBORAH L HOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC MA
Contact information
Practice address
2550 SHOW LOW LAKE ROAD, SHOW LOW, AZ 85901
(928) 537-1029
(928) 537-9049
Mailing address
2550 SHOW LOW LAKE ROAD, SHOW LOW, AZ 85901
(928) 537-1029
(928) 537-9049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC10573
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168042
AHCCCS
AZ
Enumeration date
03/13/2007
Last updated
07/08/2007
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