Individual
EMILE NGABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 N 16TH ST, PHOENIX, AZ 85020-5265
(520) 331-5287
Mailing address
7301 N 16TH ST, PHOENIX, AZ 85020-5265
(520) 275-0483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OTC11933
AZ
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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