ADAIAH GOODEN

PHOENIX, AZ
NPI1942941919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  13228)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
ADAIAH GOODEN LASAC
12414 N 28TH DR STE D
PHOENIX, AZ 85029-2488
Phone number: 480-442-8530
Mailing Address
ADAIAH GOODEN LASAC
12414 N 28TH DR STE D
PHOENIX, AZ 85029-2488
Phone number: