Individual
MR. JOSHUA DANIEL NURSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAT
Contact information
Practice address
932 S GARDNER DR, CHANDLER, AZ 85224-7231
(480) 389-8422
Mailing address
932 S GARDNER DR, CHANDLER, AZ 85224-7231
(480) 389-8422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LSAT-15121
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSAT-15121
ARIZONA BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
02/11/2019
Last updated
02/11/2019
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