Alvis Lee Robertson
Counselor, Addiction (Substance Use Disorder) in Laveen, AZ. Individual provider (NPI-1).
NPI number1164074282
StatusActive
Last updated in NPPESJul 9, 2019
Details
- NPI
- 1164074282
- Entity type
- Individual (NPI-1)
- Name
- Alvis Lee Robertson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2019
- Last updated
- Jul 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 11595 | AZ | Yes |
Practice location
3850 N. 16th St. E. Beltline Rd.Laveen, AZ 85339
Phone 520-796-3860 · Fax 520-796-3801
Mailing address
17242 S Healthcare DrLaveen, AZ 85339-8501
Phone 520-796-3860
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All 18 Addiction (Substance Use Disorder) Counselor providers in Laveen · All 764 providers in Laveen
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