RICHARD JEWELL

PHOENIX, AZ
NPI1770348385
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-155320)
Enumeration Date2024-02-14
Last Update Date2024-02-14
Business Address
RICHARD JEWELL LISAC
2532 W PEORIA AVE
PHOENIX, AZ 85029-4709
Phone number: 602-583-9742
Mailing Address
RICHARD JEWELL LISAC
2532 W PEORIA AVE
PHOENIX, AZ 85029-4709
Phone number: 602-583-9742
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