Individual
BRENDA C. PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
564 N IDAHO RD, APACHE JUNCTION, AZ 85219-4001
(480) 288-5328
(480) 288-5328
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85217-3160
(480) 288-5328
(480) 288-5339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC 1383
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164256
—
AZ
Enumeration date
01/08/2007
Last updated
07/09/2007
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