Individual provider · Type 1 NPI

Glenn Bernard Ricker, LISAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1831592658 Active

Practice location

4909 E Mcdowell Rd
Phoenix, AZ 85008-7735

Call (602) 685-6000 Map

Fax (602) 275-1355

Mailing address

3003 N Central Ave Ste 200
Phoenix, AZ 85012-2914

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-1539 (AZ)

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

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About NPI 1831592658

Glenn Bernard Ricker, LISAC's National Provider Identifier is 1831592658, issued on Oct 7, 2014. 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 Oct 7, 2014.