person
La Toria Waters, LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1114796216

La Toria Waters is an Addiction (Substance Use Disorder) Counselor based in Tucson, AZ and is specialized in Addiction (Substance Use Disorder). La Toria Waters practices in Phoenix, AZ and has the professional credentials of LISAC. The NPI Number for La Toria Waters is 1114796216 and holds a License No. LISAC-155285 (Arizona).

The current practice location address for La Toria Waters is 10220 N 31St Ave Ste 103-105, Phoenix, AZ and can be reached out via phone at 602-863-1862 and via fax at 602-293-3591.

Location: 10220 N 31St Ave Ste 103-105, Phoenix, AZ, 85754-6537
person
Provider Profile Details
NPI Number
1114796216
Provider Name
La Toria Waters
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
10220 N 31St Ave Ste 103-105, Phoenix, AZ, 85754-6537
Phone Number
602-863-1862
Fax Number
602-293-3591
Provider Enumeration Date
12/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10220 N 31St Ave Ste 103-105
City
State
Zip
85051-9581
Phone Number
602-863-1862
Fax Number
602-293-3591
person
Provider Business Mailing Address Details
Address
10220 N 31St Ave Ste 103-105
City
State
Zip
85051-9581
Phone Number
602-863-1862
Fax Number
602-293-3591
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-155285 (Arizona)
Definition
Definition to come...
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