Bevan Gottlieb, LISAC

NPI #1144643628 in Prescott, Arizona

Provider Information

NPI Number
1144643628
Entity Type
Individual
Name
Bevan Gottlieb, LISAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LISAC
Enumeration Date
Feb 4, 2014
Last Updated
Feb 4, 2014

Practice Location

Address
115 E GOODWIN ST
Address 2
SUITE C
State
Arizona
ZIP Code
86303-3926
Phone
(928) 533-2411

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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