THOMAS ARTHUR LARSON

PHOENIX, AZ
NPI1962805788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-10047)
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
-- THOMAS ARTHUR LARSON LISAC
1802 E THOMAS RD
PHOENIX, AZ 85016-8134
Phone number: 602-685-6000
Mailing Address
-- THOMAS ARTHUR LARSON LISAC
3003 N CENTRAL AVE STE 200
PHOENIX, AZ 85012-2914
Phone number: 602-685-6000