Bevan Gottlieb, LISAC
Bevan Gottlieb, LISAC is an Addiction (Substance Use Disorder) Counselor in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
115 E Goodwin St Ste CPrescott, AZ 86303-3926
Phone: (928) 533-2411
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 10822 (AZ) |
|---|
Record details
| NPI number | 1144643628 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LISAC |
| Sole proprietor | Yes |
| NPI enumerated | February 4, 2014 |
| Last updated in NPPES | February 4, 2014 |
| Mailing address | 520 Ellenwood Dr, Prescott, AZ 86303-4122 |
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