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Robert William Daughenbaugh JR., LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1598362535

Robert William Daughenbaugh JR. is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Robert William Daughenbaugh JR. practices in Phoenix, AZ and has the professional credentials of LISAC. The NPI Number for Robert William Daughenbaugh JR. is 1598362535 and holds a License No. 155280 (Arizona).

The current practice location address for Robert William Daughenbaugh JR. is 3420 E Shea Blvd, Phoenix, AZ and can be reached out via phone at 602-730-5206.

Location: 3420 E Shea Blvd, Phoenix, AZ, 85028-2122
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Provider Profile Details
NPI Number
1598362535
Provider Name
Robert William Daughenbaugh JR.
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
3420 E Shea Blvd, Phoenix, AZ, 85028-2122
Phone Number
602-730-5206
Fax Number
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
155280 01 AZ LICENSED INDEPENDENT SUBSTANCE ABUSE COUNSELOR
institution
Provider Business Practice Location Address Details
Address
3420 E Shea Blvd
City
State
Zip
85028-3345
Phone Number
602-730-5206
Fax Number
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Provider Business Mailing Address Details
Address
3420 E Shea Blvd
City
State
Zip
85028-3345
Phone Number
602-730-5206
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
155280 (Arizona)
Definition
Definition to come...
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