Individual
MRS. DORA EDNA GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA LISAC CSAT
Contact information
Practice address
4545 N. 36TH STREET, SUITE 121, PHOENIX, AZ 85018
(602) 826-1316
Mailing address
4545 N. 36TH STREET, SUITE 121, PHOENIX, AZ 85018
(602) 826-1316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC#10779
AZ
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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