Organization · Type 2 NPI
Destiny Sober Living
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1104365287
Active
Practice location
5306 N 17th Ave
Phoenix, AZ 85015-3035
Fax (602) 926-0590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | BH3285 (AZ) |
| Mental Health Counselor | 101YM0800X | BH3285 (AZ) |
| Professional Counselor | 101YP2500X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
- Destiny Sober LivingSubstance Abuse Rehabilitation Facility Phoenix, AZ NPI 1336377050
- Family Institute for Health and RecoveryCommunity/Behavioral Health Agency Phoenix, AZ NPI 1023465481
- Eva Corona, LISACAddiction (Substance Use Disorder) Counselor Phoenix, AZ NPI 1316607625
- Kelly BennettAddiction (Substance Use Disorder) Counselor Phoenix, AZ NPI 1184384489
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About NPI 1104365287
Destiny Sober Living's National Provider Identifier is 1104365287, issued on Feb 22, 2017. 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 Feb 22, 2017.