MR. ANTHONY GREENIDGE, AZ LISAC - 15204

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1518102151

Practice Address

17446 W PAPAGO ST
Goodyear, AZ 85338

Phone: (919) 827-6628

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 1322 (NC)

Frequently Asked Questions

NPI 1518102151 is the National Provider Identifier for MR. ANTHONY GREENIDGE, AZ LISAC - 15204, a Counselor - Addiction (Substance Use Disorder) provider located in Goodyear, AZ. This NPI was enumerated on December 11, 2008.
MR. ANTHONY GREENIDGE, AZ LISAC - 15204 practices at 17446 W PAPAGO ST, Goodyear, AZ 85338.

Quick Facts

NPI
1518102151
Type
Individual
Enumerated
Dec 11, 2008
Last Updated
Sep 30, 2021

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