THERESE M SMITH

PHOENIX, AZ
NPI1093986895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-10977)
Enumeration Date2008-03-19
Last Update Date2008-03-19
Business Address
MS. THERESE M SMITH MAED- LISAC
4129 E VAN BUREN ST
PHOENIX, AZ 85008-6939
Phone number: 602-269-5331
Mailing Address
MS. THERESE M SMITH MAED- LISAC
4129 E VAN BUREN ST
PHOENIX, AZ 85008-6939
Phone number: 602-269-5331