Individual
MS. LORRAINE MISCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LASAC
Contact information
Practice address
4425 N 78TH ST APT 157B, SCOTTSDALE, AZ 85251-2548
(480) 567-2235
Mailing address
4425 N 78TH ST APT 157B, SCOTTSDALE, AZ 85251-2548
(480) 567-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15313
AZ
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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