JOSHUA LOCKE AZEVEDO

TEMPE, AZ
NPI1356517676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  1644)
Enumeration Date2008-05-06
Last Update Date2008-05-13
Business Address
Mr. JOSHUA LOCKE AZEVEDO L.I.S.A.C.
648 S RIVER DR
TEMPE, AZ 85281-3012
Phone number: 480-921-4050
Mailing Address
Mr. JOSHUA LOCKE AZEVEDO L.I.S.A.C.
1753 E BROADWAY RD 101-280
TEMPE, AZ 85282-2081
Phone number: 480-921-4050