Individual provider · Type 1 NPI
Anthony Eugene Greenidge, AZ LISAC - 15204
Addiction (Substance Use Disorder) Counselor · Goodyear, AZ
NPI number
1518102151
Active
Practice location
17446 W Papago St
Goodyear, AZ 85338-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15204 (AZ) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1322 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1518102151
Anthony Eugene Greenidge, AZ LISAC - 15204's National Provider Identifier is 1518102151, issued on Dec 11, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Goodyear, AZ. The record was last updated on Sep 30, 2021.