Individual provider · Type 1 NPI

Nanci D. Gainsforth, LISAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1710112628 Active

Practice location

1415 N 1st St
Phoenix, AZ 85004-1604

Fax (602) 685-6001

Mailing address

3003 N Central Ave, Suite 200
Phoenix, AZ 85012-2902

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-10593 (AZ)

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

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About NPI 1710112628

Nanci D. Gainsforth, LISAC's National Provider Identifier is 1710112628, issued on May 20, 2009. 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 May 20, 2009.