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LEANN VICTOR LISAC
NPI 1245666502
Counselor - Addiction (Substance Use Disorder) in San Carlos, AZ

Active since September 18, 2013
5 SAN CARLOS AVENUE, SAN CARLOS, AZ 85550(928) 475-4875(928) 475-3453 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leann Victor Lisac NPPES

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

LEANN VICTOR LISAC (NPI 1245666502) is an individual addiction (substance use disorder) provider in San Carlos, Arizona, licensed in Arizona (10845) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1245666502
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLEANN VICTORCredential: LISAC
Location Address5 SAN CARLOS AVENUESan Carlos, AZ 85550-9999
Mailing Address5 San Carlos AvenueSan Carlos, AZ 85550-9999 · (928) 475-4875 · Fax (928) 475-3453
Phone(928) 475-4875
Fax(928) 475-3453
Sole ProprietorNo
Enumeration DateSeptember 18, 2013
✔ NPI 1245666502 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 · 10845
5 SAN CARLOS AVENUE, San Carlos, AZ 85550
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Other Providers at the Same Location NPPES

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

DR. ROBERT REED HENLEY PH.D.
Psychologist
5 SAN CARLOS AVENUE
SAN CARLOS, AZ 85550
Gila County (928) 475-4875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leann Victor's NPI number?

The NPI number for Leann Victor is 1245666502. It was assigned to this individual provider in the NPPES registry on September 18, 2013.

Where is Leann Victor located?

Leann Victor practices at 5 San Carlos Avenue, San Carlos, AZ 85550. The listed phone number is (928) 475-4875.

What is Leann Victor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Leann Victor was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.