Individual
MS. CAROL ELIZABETH GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LASAC
Contact information
Practice address
5010 E SHEA BLVD STE D202, SCOTTSDALE, AZ 85254-4570
(602) 569-4328
Mailing address
5225 N 18TH DR, PHOENIX, AZ 85015-3037
(602) 206-6784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15120
AZ
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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