Individual provider · Type 1 NPI
Terry Kouris
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1922465459
Active
Practice location
11225 N 28th Dr, Suite A-101
Phoenix, AZ 85029-5606
Fax (702) 664-6719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-11367 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922465459
Terry Kouris's National Provider Identifier is 1922465459, issued on Jan 28, 2016. 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 Jan 28, 2016.