Individual
AMARYLLIS LARA TE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-5540
(480) 362-5722
Mailing address
10901 E MCDOWELL RD, SCOTTSDALE, AZ 85256-5300
(480) 362-7742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
09/05/2024
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