Individual
MR. RICHARD G CIAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LISAL
Contact information
Practice address
1102 W HIGHLAND AVE, PHOENIX, AZ 85013-2470
(602) 707-2418
(602) 707-2040
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2418
(602) 707-2040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LSAC10488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126285
—
AZ
Enumeration date
02/12/2007
Last updated
07/09/2007
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