Individual
PATRICIA GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LASAC
Contact information
Practice address
335 N ALMA SCHOOL RD, SUITE E, CHANDLER, AZ 85224-4363
(480) 641-1165
(480) 641-9026
Mailing address
777 W CHANDLER BLVD APT 1234, CHANDLER, AZ 85225-2530
(480) 641-1165
(480) 641-9026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-5613T
AZ
Other
Enumeration date
01/05/2016
Last updated
01/06/2016
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