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Richard Jewell, LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1770348385

Richard Jewell is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Richard Jewell practices in Phoenix, AZ and has the professional credentials of LISAC. The NPI Number for Richard Jewell is 1770348385 and holds a License No. LISAC-155320 (Arizona).

The current practice location address for Richard Jewell is 2532 W Peoria Ave, Phoenix, AZ and can be reached out via phone at 602-583-9742. You can also correspond with Richard Jewell through the mailing address at 2532 W PEORIA AVE, PHOENIX, AZ - 85029-4709 (mailing address contact number: 602-583-9742).

Location: 2532 W Peoria Ave, Phoenix, AZ, 85029-4709
person
Provider Profile Details
NPI Number
1770348385
Provider Name
Richard Jewell
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
2532 W Peoria Ave, Phoenix, AZ, 85029-4709
Phone Number
602-583-9742
Fax Number
Provider Enumeration Date
02/14/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2532 W Peoria Ave
City
State
Zip
85029-4709
Phone Number
602-583-9742
Fax Number
person
Provider Business Mailing Address Details
Address
2532 W Peoria Ave
City
State
Zip
85029-4709
Phone Number
602-583-9742
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-155320 (Arizona)
Definition
Definition to come...
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