Individual
DEBRA A HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
324 S OCOTILLO AVE, BENSON, AZ 85602-6401
(520) 720-6122
(520) 720-6236
Mailing address
4825 N SABINO CANYON RD, TUCSON, AZ 85750-6427
(520) 882-0090
(520) 884-0383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1045
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LISAC-1045
AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
04/14/2016
Last updated
04/14/2016
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