CHAD H CLOSE

MESA, AZ
NPI1013311356
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-10407)
Enumeration Date2014-10-15
Last Update Date2014-10-15
Business Address
-- CHAD H CLOSE LISAC
650 W. SOUTHERN AVE.
MESA, AZ 85210
Phone number: 602-808-2800
Mailing Address
-- CHAD H CLOSE LISAC
202 E. EARLL DR. SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-808-2800
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