Individual
BETH M STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LISAC
Contact information
Practice address
14510 W SHUMWAY DR STE 202, SUN CITY WEST, AZ 85375-5817
(623) 293-2282
Mailing address
14510 W SHUMWAY DR STE 202, SUN CITY WEST, AZ 85375-5817
(623) 293-2282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC -10994
AZ
101YP2500X
Professional Counselor
Primary
LPC 13208
AZ
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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