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Individual

LAUREL RETTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LISAC

Contact information

Practice address
4150 E HARVARD AVE, GILBERT, AZ 85234-7562
(480) 330-7997
Mailing address
4150 E HARVARD AVE, GILBERT, AZ 85234-7562
(480) 330-7997

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SA0505
101YP2500X
Professional Counselor
Primary
LPC1824
AZ

Other

Enumeration date
06/10/2014
Last updated
06/10/2014
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