Individual provider · Type 1 NPI
Dora Edna Golden, BA LISAC CSAT
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1750680245
Active
Practice location
4545 N. 36th Street, Suite 121
Phoenix, AZ 85018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC#10779 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1750680245
Dora Edna Golden, BA LISAC CSAT's National Provider Identifier is 1750680245, issued on Mar 23, 2011. 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 Mar 23, 2011.