person
Bevan Gottlieb, LISAC
Addiction (Substance Use Disorder) Counselor in Prescott, Arizona
NPI 1144643628

Bevan Gottlieb is an Addiction (Substance Use Disorder) Counselor based in Prescott, AZ and is specialized in Addiction (Substance Use Disorder). Bevan Gottlieb practices in Prescott, AZ and has the professional credentials of LISAC. The NPI Number for Bevan Gottlieb is 1144643628 and holds a License No. 10822 (Arizona).

The current practice location address for Bevan Gottlieb is 115 E Goodwin St, Prescott, AZ and can be reached out via phone at 928-533-2411.

Location: 115 E Goodwin St, Prescott, AZ, 86303-4122
person
Provider Profile Details
NPI Number
1144643628
Provider Name
Bevan Gottlieb
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
115 E Goodwin St, Prescott, AZ, 86303-4122
Phone Number
928-533-2411
Fax Number
Provider Enumeration Date
02/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 E Goodwin St
City
State
Zip
86303-3926
Phone Number
928-533-2411
Fax Number
person
Provider Business Mailing Address Details
Address
115 E Goodwin St
City
State
Zip
86303-3926
Phone Number
928-533-2411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10822 (Arizona)
Definition
Definition to come...
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