MR. JOSHUA LOCKE AZEVEDO L.I.S.A.C.
NPI 1356517676
Counselor - Addiction (Substance Use Disorder) in Tempe, AZ
Active since May 06, 2008
About Mr. Joshua Locke Azevedo L.i.s.a.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOSHUA LOCKE AZEVEDO L.I.S.A.C. (NPI 1356517676) is an individual addiction (substance use disorder) provider in Tempe, Arizona, licensed in Arizona (1644) and active in the NPI registry since May 2008.
NPPES Registry Identity
NPI1356517676
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JOSHUA LOCKE AZEVEDOCredential: L.I.S.A.C.
Location Address648 S RIVER DRTempe, AZ 85281-3012
Mailing Address1753 E Broadway Rd, 101-280Tempe, AZ 85282-2081 · (480) 921-4050 · Fax (480) 921-2673
Phone(480) 921-4050
Fax(480) 921-2673
Sole ProprietorNo
Enumeration DateMay 6, 2008
Last NPPES UpdateMay 13, 2008
✔ NPI 1356517676 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 · 1644
648 S RIVER DR, Tempe, AZ 85281
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356517676, enumerated as an "individual" on May 06, 2008.
The provider is located at 648 S RIVER DR TEMPE, AZ 85281 and the phone number is (480) 921-4050.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
