Individual
MR. FERNANDO BARBARO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC #0981
Contact information
Practice address
281 W 24TH ST, YUMA, AZ 85364-8500
(928) 344-1435
Mailing address
1830 S ALMA SCHOOL RD STE 101, MESA, AZ 85210-3086
(480) 649-3352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0981
AZ
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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