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Individual

RANDY DANNHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISAC

Contact information

Practice address
5116 E THOMAS RD, PHOENIX, AZ 85018-7915
(602) 281-6574
(602) 281-6905
Mailing address
5116 E THOMAS RD, PHOENIX, AZ 85018-7915
(602) 281-6574
(602) 281-6905

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11479
AZ

Other

Enumeration date
12/18/2013
Last updated
12/11/2019
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