Individual provider · Type 1 NPI
Elmer George Myron, LBSW, LISAC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1710197843
Active
Practice location
4041 N. Central Ave, Building C
Phoenix, AZ 85012-3133
Fax (602) 279-5393
Mailing address
4011 W Columbine Dr
Phoenix, AZ 85029-2970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11597 (AZ) |
| Social Worker | 104100000X | 4125 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1710197843
Elmer George Myron, LBSW, LISAC's National Provider Identifier is 1710197843, issued on May 24, 2007. 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 Aug 29, 2014.