DOUGLAS CHARLES WINTER

PRESCOTT, AZ
NPI1689101040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LASAC-15193)
Enumeration Date2017-05-16
Last Update Date2022-07-21
Business Address
DOUGLAS CHARLES WINTER LASAC
214 N ARIZONA AVE
PRESCOTT, AZ 86301-3104
Phone number: 928-776-8251
Mailing Address
DOUGLAS CHARLES WINTER LASAC
214 N ARIZONA AVE
PRESCOTT, AZ 86301-3104
Phone number: 928-776-8251
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