Individual
TAWNY L BILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2920 N 24TH AVE STE 240, PHOENIX, AZ 85015-5960
(480) 534-4071
Mailing address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 456-2642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-16427
AZ
101YM0800X
Mental Health Counselor
Primary
LAC-16427
AZ
Other
Enumeration date
01/20/2020
Last updated
02/16/2021
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