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ANGELA DANIELS-VALENZUELA LISAC
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1255586236
Individual Registrant: ANGELA DANIELS-VALENZUELA LISAC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
13549 N SANDERS RD MARANA, AZ 85653-9505 US
Tel: 520-682-1091 Fax: 520-682-4132
Tel: 520-682-1091 Fax: 520-682-4132
Contact information for business:
PO BOX 188 MARANA, AZ 85653-0188 US
Tel: 520-682-4560 Fax: 520-682-4570
Tel: 520-682-4560 Fax: 520-682-4570
Registration Information:
NPI: 1255586236
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | AZ | LISAC-10700 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
