Individual
MUSTAFA SUARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8450 N 59TH AVE APT 211, GLENDALE, AZ 85302-5581
(314) 585-9123
Mailing address
8450 N 59TH AVE APT 211, GLENDALE, AZ 85302-5581
(314) 585-9123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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