RANDY DANNHEIM

PHOENIX, AZ
NPI1710308788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-11479)
Enumeration Date2013-12-18
Last Update Date2019-12-11
Business Address
-- RANDY DANNHEIM lisac
5116 E THOMAS RD
PHOENIX, AZ 85018-7915
Phone number: 602-281-6574
Mailing Address
-- RANDY DANNHEIM lisac
5116 E THOMAS RD
PHOENIX, AZ 85018-7915
Phone number: 602-281-6574
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