Individual
JOSE ANTONIO HABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
6401 S 16TH ST # 17, PHOENIX, AZ 85042-4417
(602) 434-8457
Mailing address
6401 S 16TH ST # 17, PHOENIX, AZ 85042-4417
(602) 434-8457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0370
AZ
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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