Individual
MS. DIANNE DENISE ANDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LPC, LISAC
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(520) 444-4624
Mailing address
PO BOX 13429, TUCSON, AZ 85732-3429
(520) 444-4624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0372
AZ
101YM0800X
Mental Health Counselor
1689
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
842410
AHCCCS
AZ
Enumeration date
04/23/2007
Last updated
02/23/2009
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