person
Leann Victor, LISAC
Addiction (Substance Use Disorder) Counselor in San Carlos, Arizona
NPI 1245666502

Leann Victor is an Addiction (Substance Use Disorder) Counselor based in San Carlos, AZ and is specialized in Addiction (Substance Use Disorder). Leann Victor practices in San Carlos, AZ and has the professional credentials of LISAC. The NPI Number for Leann Victor is 1245666502 and holds a License No. 10845 (Arizona).

The current practice location address for Leann Victor is 5 San Carlos Avenue, San Carlos, AZ and can be reached out via phone at 928-475-4875 and via fax at 928-475-3453.

Location: 5 San Carlos Avenue, San Carlos, AZ, 85550-9999
person
Provider Profile Details
NPI Number
1245666502
Provider Name
Leann Victor
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
5 San Carlos Avenue, San Carlos, AZ, 85550-9999
Phone Number
928-475-4875
Fax Number
928-475-3453
Provider Enumeration Date
09/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 San Carlos Avenue
City
State
Zip
85550-9999
Phone Number
928-475-4875
Fax Number
928-475-3453
person
Provider Business Mailing Address Details
Address
5 San Carlos Avenue
City
State
Zip
85550-9999
Phone Number
928-475-4875
Fax Number
928-475-3453
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10845 (Arizona)
Definition
Definition to come...
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