Individual provider · Type 1 NPI
Carol Preuitt, LISAC
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1376780775
Active
Practice location
450 W 5th Pl
Mesa, AZ 85201-5619
Fax (480) 962-7944
Mailing address
1811 S Alma School Rd, Ste 160
Mesa, AZ 85210-3001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10547 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376780775
Carol Preuitt, LISAC's National Provider Identifier is 1376780775, issued on Jan 7, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Jan 7, 2009.