Individual
LINDA MARIE CANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
2449 E MOBILE LN, PHOENIX, AZ 85040-2641
(480) 392-0791
Mailing address
PO BOX 91002, PHOENIX, AZ 85066-1002
(480) 392-0791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-155242
AZ
Other
Enumeration date
05/20/2019
Last updated
04/25/2024
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