Individual
UREJO HASSAN HAJI BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5308 W NOVAK WAY, LAVEEN, AZ 85339-2995
(623) 218-8074
Mailing address
5308 W NOVAK WAY, LAVEEN, AZ 85339-2995
(623) 218-8074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BH7631
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH7631
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
06/23/2022
Last updated
06/23/2022
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