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ANGELA DANIELS-VALENZUELA LISAC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1255586236

Individual Registrant:
 ANGELA  DANIELS-VALENZUELA LISAC
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

Contact information for business:
PO BOX 188  MARANA, AZ 85653-0188 US
Tel: 520-682-4560  Fax: 520-682-4570

Registration Information:
NPI: 1255586236
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
AZLISAC-10700

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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