Individual
TED GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LASAC
Contact information
Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
(480) 983-0065
(481) 671-4541
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85117-4115
(480) 983-0065
(480) 671-4541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13203
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LASAC-13203
LICENSE
AZ
Enumeration date
09/19/2011
Last updated
09/19/2011
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