Individual
JOHN R CARRUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 W SAINT MARYS RD, STE 160, TUCSON, AZ 85745-2621
(520) 628-8287
(520) 628-8749
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 792-9890
(520) 884-9287
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC1300
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC11859
AZ
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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