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Shirley A. Matt, LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1063569473

Shirley A. Matt is an Addiction (Substance Use Disorder) Counselor based in Pasadena, AZ and is specialized in Addiction (Substance Use Disorder). Shirley A. Matt practices in Phoenix, AZ and has the professional credentials of LISAC. The NPI Number for Shirley A. Matt is 1063569473 and holds a License No. LISAC-0439 (Arizona).

The current practice location address for Shirley A. Matt is 4212 N 16Th St, Phoenix, AZ and can be reached out via phone at 602-263-1511 and via fax at 602-263-1619.

Location: 4212 N 16Th St, Phoenix, AZ, 91110-0698
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Provider Profile Details
NPI Number
1063569473
Provider Name
Shirley A. Matt
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
4212 N 16Th St, Phoenix, AZ, 91110-0698
Phone Number
602-263-1511
Fax Number
602-263-1619
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102999 05 AZ
AZ0913910 01 AZ BCBSAZ
institution
Provider Business Practice Location Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-263-1511
Fax Number
602-263-1619
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Provider Business Mailing Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-263-1511
Fax Number
602-263-1619
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-0439 (Arizona)
Definition
Definition to come...
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