Individual
AARON DAVID HALLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LIAC
Contact information
Practice address
1930 S ALMA SCHOOL RD STE A203, MESA, AZ 85210-3066
(480) 256-8566
Mailing address
1930 S ALMA SCHOOL RD STE A203, MESA, AZ 85210-3066
(480) 256-8566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11698
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15102
AZ
Other
Enumeration date
04/25/2012
Last updated
10/16/2024
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