MICHAEL LATINO

PHOENIX, AZ
NPI1407200785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LASAC-15133)
Enumeration Date2016-04-22
Last Update Date2016-04-22
Business Address
-- MICHAEL LATINO LASAC
2400 N CENTRAL AVE STE 101
PHOENIX, AZ 85004-1300
Phone number: 602-264-9891
Mailing Address
-- MICHAEL LATINO LASAC
2400 N CENTRAL AVE STE 101
PHOENIX, AZ 85004-1300
Phone number: 602-264-9891
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