person
Randy Dannheim, LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1710308788

Randy Dannheim is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Randy Dannheim practices in Phoenix, AZ and has the professional credentials of LISAC. The NPI Number for Randy Dannheim is 1710308788 and holds a License No. LISAC-11479 (Arizona).

The current practice location address for Randy Dannheim is 5116 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-281-6574 and via fax at 602-281-6905.

Location: 5116 E Thomas Rd, Phoenix, AZ, 85018-7915
person
Provider Profile Details
NPI Number
1710308788
Provider Name
Randy Dannheim
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
5116 E Thomas Rd, Phoenix, AZ, 85018-7915
Phone Number
602-281-6574
Fax Number
602-281-6905
Provider Enumeration Date
12/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5116 E Thomas Rd
City
State
Zip
85018-7915
Phone Number
602-281-6574
Fax Number
602-281-6905
person
Provider Business Mailing Address Details
Address
5116 E Thomas Rd
City
State
Zip
85018-7915
Phone Number
602-281-6574
Fax Number
602-281-6905
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-11479 (Arizona)
Definition
Definition to come...
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