Individual
MS. LAKSHMI REBECCA NOLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISAC, SAP
Contact information
Practice address
4250 E CAMELBACK RD, SUITE K300, PHOENIX, AZ 85018-8301
(602) 343-8232
(602) 343-8233
Mailing address
PO BOX 67133, PHOENIX, AZ 85082-7133
(602) 550-6240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ABCAC 1870
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICADC 18225
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10865
AZ
101YP2500X
Professional Counselor
SAP
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-11126
AZ
Other
Enumeration date
12/04/2006
Last updated
11/14/2013
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