LIONEL ESTRADA

SCOTTSDALE, AZ
NPI1053050955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LASAC-15370)
Enumeration Date2022-05-31
Last Update Date2022-05-31
Business Address
LIONEL ESTRADA LISAC
16444 N 91ST ST
SCOTTSDALE, AZ 85260-1567
Phone number: 800-480-1781
Mailing Address
LIONEL ESTRADA LISAC
16444 N 91ST ST
SCOTTSDALE, AZ 85260-1567
Phone number: