Individual provider · Type 1 NPI
Lee A. Zohaunnie-Russell
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1376983965
Active
Practice location
3864 N 27th Ave
Phoenix, AZ 85017-4703
Mailing address
3003 N Central Ave, Suite 200
Phoenix, AZ 85012-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LASAC-13135 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376983965
Lee A. Zohaunnie-Russell's National Provider Identifier is 1376983965, issued on Jun 27, 2013. 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 Jun 27, 2013.