GWEN GRIFFIN LISAC
NPI 1093895328
Counselor - Addiction (Substance Use Disorder) in Cottonwood, AZ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since October 17, 2006

8 E COTTONWOOD ST, COTTONWOOD, AZ 86326(928) 634-2236(928) 634-8960 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Gwen Griffin Lisac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWEN GRIFFIN LISAC (NPI 1093895328) is an individual addiction (substance use disorder) provider in Cottonwood, Arizona, licensed in Arizona (10319) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1093895328

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameGWEN GRIFFINCredential: LISAC

Location Address8 E COTTONWOOD STCottonwood, AZ 86326-4382

Mailing Address65 Verde Valley School Rd Apt D7Sedona, AZ 86351-9017 · (928) 634-2236 · Fax (928) 634-8960

Phone(928) 634-2236

Fax(928) 634-8960

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093895328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · 10319

8 E COTTONWOOD ST, Cottonwood, AZ 86326

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Other Identifiers 1

Medicaid957920AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA VIOL LCSW

Social Worker (Clinical)