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DR. SUSAN LACHICA PSYD

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

Registrant NPI Number: 1508201740

Individual Registrant:
DR. SUSAN  LACHICA PSYD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
#5 SAN CARLOS AVE  SAN CARLOS, AZ 85550-9999 US
Tel: 928-475-4875  Fax: 928-475-4891

Contact information for business:
#5 SAN CARLOS AVE  SAN CARLOS, AZ 85550-9999 US
Tel: 928-475-4875  Fax: 928-475-4891

Registration Information:
NPI: 1508201740
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
AZLASAC 13162

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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