Individual
SIAMAK SAFAEIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LISAC
Contact information
Practice address
12144 E PARADISE DR, SCOTTSDALE, AZ 85259-3341
(480) 518-3389
(480) 664-6776
Mailing address
12144 E PARADISE DR, SCOTTSDALE, AZ 85259-3341
(480) 518-3389
(480) 664-6776
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11819
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20763585
—
AZ
Enumeration date
03/03/2008
Last updated
03/03/2008
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