SAMANTHA NIXON

GLENDALE, AZ
NPI1760244313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  15403)
Enumeration Date2024-01-29
Last Update Date2024-01-29
Business Address
SAMANTHA NIXON LISAC
14240 N 43RD AVE
GLENDALE, AZ 85306-4511
Phone number: 602-263-5242
Mailing Address
SAMANTHA NIXON LISAC
2002 E OSBORN RD
PHOENIX, AZ 85016-7236
Phone number: 602-263-5242
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