Individual provider · Type 1 NPI
La Toria Waters, LISAC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1114796216
Active
Practice location
10220 N 31st Ave Ste 103-105
Phoenix, AZ 85051-9581
Fax (602) 293-3591
Mailing address
PO Box 86537
Tucson, AZ 85754-6537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-155285 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114796216
La Toria Waters, LISAC's National Provider Identifier is 1114796216, issued on Dec 29, 2023. 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 29, 2023.