ALVIS LEE ROBERTSON

LAVEEN, AZ
NPI1164074282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  11595)
Enumeration Date2019-07-09
Last Update Date2019-07-09
Business Address
ALVIS LEE ROBERTSON
3850 N. 16TH ST. E. BELTLINE RD.
LAVEEN, AZ 85339
Phone number: 520-796-3860
Mailing Address
ALVIS LEE ROBERTSON
17242 S HEALTHCARE DR
LAVEEN, AZ 85339-8501
Phone number: 520-796-3860