| Mr Yassar E Canchola, BA, LISAC | |
|
611 W Union St, Benson, AZ 85602-6718 | |
| (520) 586-0800 | |
| Not Available |
| Full Name | Mr Yassar E Canchola |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 611 W Union St, Benson, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871685958 | NPI | - | NPPES |
| 888563 | Other | AZ | AHCCCS |
| LISAC-11046 | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC11046 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Yassar E Canchola, BA, LISAC 611 W Union St, Benson, AZ 85602-6718 Ph: (520) 586-0800 | Mr Yassar E Canchola, BA, LISAC 611 W Union St, Benson, AZ 85602-6718 Ph: (520) 586-0800 |
Ms. Stacy L Paul, MA, LPC, LICAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 590 S Ocotillo Ave, Benson, AZ 85602 Phone: 520-586-7080 Fax: 520-586-3163 | |
Mrs. Tanya Lea Fuentes, MC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Seneca Dr, Benson, AZ 85602 Phone: 520-200-7157 | |
Ms. Kathleen B Crawford, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 670 W Via Javalina, Benson, AZ 85602 Phone: 520-403-7807 Fax: 520-586-2294 | |
Melissa Ann Simard, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1137 S Kachina Ln, Benson, AZ 85602 Phone: 520-848-1840 | |
Mr. Murray Ellis Leimsieder, MA, LAC & CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 590 S Ocotillo Ave, Benson, AZ 85602 Phone: 520-586-7080 Fax: 520-586-6104 | |
Ms. Josephine Anne Ellsworth, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Maverick Lane, Benson, AZ 85602 Phone: 520-548-2929 | |
Ms. Cheri Dillion, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 880 W 4th St, Benson, AZ 85602 Phone: 520-720-6488 Fax: 520-720-6486 |