Individual provider · Type 1 NPI

Lisa Marie Gastaldi, LIAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1104187053 Active

Practice location

4909 E Mcdowell Rd
Phoenix, AZ 85008-4227

Call (602) 685-6000 Map

Fax (602) 275-1355

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X16482-130 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X155344 (AZ)

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

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About NPI 1104187053

Lisa Marie Gastaldi, LIAC's National Provider Identifier is 1104187053, issued on Jun 6, 2012. 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 Dec 9, 2024.