JOSE ANTONIO HABRE

PHOENIX, AZ
NPI1619498367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-0370)
Enumeration Date2017-07-03
Last Update Date2022-07-21
Business Address
JOSE ANTONIO HABRE LISAC
6401 S 16TH ST # 17
PHOENIX, AZ 85042-4417
Phone number: 602-434-8457
Mailing Address
JOSE ANTONIO HABRE LISAC
6401 S 16TH ST # 17
PHOENIX, AZ 85042-4417
Phone number: 602-434-8457