Individual provider · Type 1 NPI

Shirley A. Matt, LISAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1063569473 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1511 Map

Fax (602) 263-1619

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-0439 (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063569473

Shirley A. Matt, LISAC's National Provider Identifier is 1063569473, issued on Jan 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 9, 2007.