Individual
JUDY G PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPC, LISAC
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85147
(602) 528-1200
(602) 528-1374
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1374
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC 11635
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166182
—
AZ
Enumeration date
01/12/2007
Last updated
12/14/2012
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