Organization
BOOST COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANA JOY CONDELLO MA, LISAC, CCTP (MEMBER)
(520) 548-8974
Entity
Organization
Contact information
Practice address
3045 N 1ST AVE STE A, TUCSON, AZ 85719-2560
(520) 548-8974
Mailing address
PO BOX 36144, TUCSON, AZ 85740-6144
(520) 548-8974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
11/05/2019
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