Individual provider · Type 1 NPI

Shaun Edgar Oldridge, LASAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1669240248 Active

Practice location

2102 W Bethany Home Rd
Phoenix, AZ 85015-1935

Call (480) 208-8505 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X08007T (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669240248

Shaun Edgar Oldridge, LASAC's National Provider Identifier is 1669240248, issued on Dec 13, 2023. 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 Dec 13, 2023.