Individual provider · Type 1 NPI
Joshua Locke Azevedo, L.I.S.A.C.
Addiction (Substance Use Disorder) Counselor · Tempe, AZ
NPI number
1356517676
Active
Practice location
648 S River Dr
Tempe, AZ 85281-3012
Fax (480) 921-2673
Mailing address
1753 E Broadway Rd, 101-280
Tempe, AZ 85282-2081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1644 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1356517676
Joshua Locke Azevedo, L.I.S.A.C.'s National Provider Identifier is 1356517676, issued on May 6, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tempe, AZ. The record was last updated on May 13, 2008.