Individual provider · Type 1 NPI
Alvis Lee Robertson
Addiction (Substance Use Disorder) Counselor · Laveen, AZ
NPI number
1164074282
Active
Practice location
3850 N. 16th St. E. Beltline Rd.
Laveen, AZ 85339
Fax (520) 796-3801
Mailing address
17242 S Healthcare Dr
Laveen, AZ 85339-8501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11595 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164074282
Alvis Lee Robertson's National Provider Identifier is 1164074282, issued on Jul 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Laveen, AZ. The record was last updated on Jul 9, 2019.