| Us Vets-arizona | |
|
3400 Grand Ave Phoenix AZ 85017-4507 | |
| (602) 739-2552 | |
| Not Available |
| Full Name | Us Vets-arizona |
|---|---|
| Speciality | Case Management |
| Location | 3400 Grand Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Michelle Jameson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6025015548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Us Vets-arizona 3507 N Central Ave Phoenix AZ 85012-2118 Ph: (602) 501-5548 | Us Vets-arizona 3400 Grand Ave Phoenix AZ 85017-4507 Ph: (602) 739-2552 |
| NPI Number | 1255818100 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255818100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11703 (Arizona) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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