MICHAEL BURNETT

MESA, AZ
NPI1518376045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  15077)
Enumeration Date2014-08-08
Last Update Date2014-08-08
Business Address
MICHAEL BURNETT LASAC
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
Mailing Address
MICHAEL BURNETT LASAC
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
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