Individual
MISS LIANA JOY CONDELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LISAC, CCTP
Contact information
Practice address
3045 N 1ST AVE STE A, TUCSON, AZ 85719-2560
(520) 548-8974
Mailing address
PO BOX 36144, TUCSON, AZ 85740-6144
(520) 548-8974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11765
AZ
Other
Enumeration date
07/29/2006
Last updated
11/05/2019
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