Individual
MRS. PATRICIA LYNN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LISAC
Contact information
Practice address
2701 N 16TH ST STE 122, PHOENIX, AZ 85006-1265
(623) 293-7527
Mailing address
2701 N 16TH ST STE 122, PHOENIX, AZ 85006-1265
(623) 293-7527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11449
AZ
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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