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3861 N 1st Ave Tucson AZ 85719-1301 | |
| (520) 209-1755 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3861 N 1st Ave, Tucson, Arizona |
| Authorized Official Name and Position | Zachary Marulli Saber (DIRECTOR OUT PATIENT SERVICES) |
| Authorized Official Contact | 5202091755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3861 N 1st Ave Tucson AZ 85719-1301 Ph: (520) 209-1755 | 3861 N 1st Ave Tucson AZ 85719-1301 Ph: (520) 209-1755 |
| NPI Number | 1932656360 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932656360 | NPI | - | NPPES |
| 1205382694 | Other | AZ | NA |
| 1669549929 | Other | AZ | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LPC-16122 (Arizona) | Primary |
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