Individual
KAREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
6114 S FONTANA AVE, TUCSON, AZ 85706-5441
(520) 261-0818
Mailing address
6114 S FONTANA AVE, TUCSON, AZ 85706-5441
(520) 261-0150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11376
AZ
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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