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Mr. Anthony Eugene Greenidge, AZLISAC-15204
Addiction (Substance Use Disorder) Counselor in Goodyear, Arizona
NPI 1518102151

Anthony Eugene Greenidge is an Addiction (Substance Use Disorder) Counselor based in Goodyear, AZ and is specialized in Addiction (Substance Use Disorder). Anthony Eugene Greenidge practices in Goodyear, AZ and has the professional credentials of AZLISAC-15204. The NPI Number for Anthony Eugene Greenidge is 1518102151 and holds a License No. (Arizona).

The current practice location address for Anthony Eugene Greenidge is 17446 W Papago St, Goodyear, AZ and can be reached out via phone at 919-827-6628.

Location: 17446 W Papago St, Goodyear, AZ, 85338-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518102151
Provider Name
Anthony Eugene Greenidge
Credential
AZLISAC-15204
Provider Entity Type
Individual
Gender
Male
Address
17446 W Papago St, Goodyear, AZ, 85338-1903
Phone Number
919-827-6628
Fax Number
Provider Enumeration Date
12/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17446 W Papago St
City
Goodyear
State
Arizona
Zip
85338-1903
Phone Number
919-827-6628
Fax Number
person
Provider Business Mailing Address Details
Address
17446 W Papago St
City
Goodyear
State
Arizona
Zip
85338-1903
Phone Number
919-827-6628
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15204 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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