LISA ANN PETERSON

LAVEEN, AZ
NPI1376029249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-10191)
Enumeration Date2018-07-13
Last Update Date2023-04-12
Business Address
LISA ANN PETERSON LISAC
4577 W PECOS RD
LAVEEN, AZ 85339-9002
Phone number: 520-550-6008
Mailing Address
LISA ANN PETERSON LISAC
PO BOX 38
SACATON, AZ 85147-0001
Phone number: 520-550-6006
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