Individual
LISA KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
10005 E OSBORNE RD, SCOTTSDALE, AZ 85256
(480) 362-7758
Mailing address
1944 S MARLOW RD, APACHE JUNCTION, AZ 85119-9337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC 10633
AZ
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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