KEVIN CHRISTOPHER

SCOTTSDALE, AZ
NPI1184265647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LASAC-13280)
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
KEVIN CHRISTOPHER LASAC
6424 E GREENWAY PKWY STE 101
SCOTTSDALE, AZ 85254-2045
Phone number: 480-877-0406
Mailing Address
KEVIN CHRISTOPHER LASAC
6928 E GRANDVIEW DR
SCOTTSDALE, AZ 85254-1552
Phone number: 602-446-2895