Individual
GABRIELA JUANITA LEDEZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAT
Contact information
Practice address
7040 W OLIVE AVE UNIT 43, PEORIA, AZ 85345-8883
(480) 272-5497
Mailing address
7040 W OLIVE AVE UNIT 43, PEORIA, AZ 85345-8883
(480) 272-5497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LSAT-7917T
AZ
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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