Individual provider · Type 1 NPI

Richard Jewell, LISAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1770348385 Active

Practice location

2532 W Peoria Ave
Phoenix, AZ 85029-4709

Call (602) 583-9742 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-155320 (AZ)

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

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About NPI 1770348385

Richard Jewell, LISAC's National Provider Identifier is 1770348385, issued on Feb 14, 2024. 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 Feb 14, 2024.