Organization
NLP ADVANTAGE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH HAGGERTY LCSW (VICE PRESIDENT)
(520) 323-5033
Entity
Organization
Contact information
Practice address
3945 E PARADISE FALLS DR STE 109, TUCSON, AZ 85712-6686
(520) 323-5033
Mailing address
3945 E PARADISE FALLS DR STE 109, TUCSON, AZ 85712-6686
(520) 323-5033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 0859
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW 0998
AZ
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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