Individual
ALLISON MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
41810 N VENTURE DR UNIT E160, ANTHEM, AZ 85086-3177
(026) 935-9222
Mailing address
3655 W ANTHEM WAY, A-109 PMB 388, ANTHEM, AZ 85086-2776
(602) 935-9222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15183
AZ
Other
Enumeration date
07/03/2020
Last updated
09/30/2020
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