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MRS. BRENDA LEE NEELEY LMSW, LISAC

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

Registrant NPI Number: 1063828663

Individual Registrant:
MRS. BRENDA LEE NEELEY LMSW, LISAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13100 S. SUNLAND GIN ROAD  ARIZONA CITY, AZ 85123-4872 US
Tel: 520-413-2750  Fax: 520-466-5266

Contact information for business:
PO BOX 4872  ARIZONA CITY, AZ 85123-2730 US
Tel: 520-413-2750  Fax: 520-466-5266

Registration Information:
NPI: 1063828663
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
AZLISAC-11428
N104100000XBehavioral Health & Social Service Providers
Social Worker
AZLMSW-13976

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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