DIANE OSTLUND

PHOENIX, AZ
NPI1750761912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  13364)
Enumeration Date2015-06-03
Last Update Date2015-06-03
Business Address
-- DIANE OSTLUND
3450 N 3RD ST
PHOENIX, AZ 85012-2331
Phone number: 602-257-9339
Mailing Address
-- DIANE OSTLUND
1424 S 7TH AVE BLDG C
PHOENIX, AZ 85007-3902
Phone number: 602-258-3600