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Individual

TERRY KOURIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11225 N 28TH DR, SUITE A-101, PHOENIX, AZ 85029-5606
(602) 374-8267
(702) 664-6719
Mailing address
11225 N 28TH DR, SUITE A-101, PHOENIX, AZ 85029-5606
(602) 374-8267
(702) 664-6719

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11367
AZ

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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