| Mr Roger Orazio Cangialosi, LLP | |
|
960 Rodeo Way, Hualapai Health Department, Peach Springs, AZ 86434 | |
| (928) 769-2216 | |
| Not Available |
| Full Name | Mr Roger Orazio Cangialosi |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 960 Rodeo Way, Peach Springs, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295976660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C01090 (Michigan) | Primary |
| 103T00000X | Psychologist | 6301013603 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roger Orazio Cangialosi, LLP 2639 Valentine Ave, Kingman, AZ 86401-4713 Ph: (928) 377-3211 | Mr Roger Orazio Cangialosi, LLP 960 Rodeo Way, Hualapai Health Department, Peach Springs, AZ 86434 Ph: (928) 769-2216 |
Vernie Phillips Jr., LMSW, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 943 Hualapai Way, Peach Springs, AZ 86434 Phone: 928-769-2204 Fax: 928-769-2701 | |
David Michael Brehmeyer, M.ED./LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 Rodeo Way, Peach Springs, AZ 86434 Phone: 928-769-2207 Fax: 928-769-2677 |