Richard Jewell, LISAC
Richard Jewell, LISAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2024.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
2532 W Peoria AvePhoenix, AZ 85029-4709
Phone: (602) 583-9742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LISAC-155320 (AZ) |
|---|
Record details
| NPI number | 1770348385 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LISAC |
| Sole proprietor | No |
| NPI enumerated | February 14, 2024 |
| Last updated in NPPES | February 14, 2024 |
| Certification date | February 14, 2024 |
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