LEELLEN LOU ANDERSON

KINGMAN, AZ
NPI1174860290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LASAC 13268)
Enumeration Date2013-01-09
Last Update Date2013-01-09
Business Address
LEELLEN LOU ANDERSON LASAC
2002 N STOCKTON HILL RD
KINGMAN, AZ 86401-4698
Phone number: 928-718-4800
Mailing Address
LEELLEN LOU ANDERSON LASAC
3710 N IRVING ST
KINGMAN, AZ 86409-3117
Phone number: 928-718-4800
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