DARCY DUDLESTON BRACAMONTE

GLENDALE, AZ
NPI1902264773
Other NameDARCY BRACAMONTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-11520)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-11168)
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
Mrs. DARCY DUDLESTON BRACAMONTE LISAC
17505 N. 79TH AVE 302A
GLENDALE, AZ 85308
Phone number: 623-850-5404
Mailing Address
Mrs. DARCY DUDLESTON BRACAMONTE LISAC
17505 N 79TH AVE 302A
GLENDALE, AZ 85308-8725
Phone number: 623-850-5404