Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaun Edgar Oldridge, LASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669240248

Shaun Edgar Oldridge, LASAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023

Practice location Address checks out

2102 W Bethany Home Rd
Phoenix, AZ 85015-1935
Phone: (480) 208-8505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 08007T (AZ)

Record details

NPI number1669240248
Entity typeIndividual (Type 1)
GenderMale
Credentials LASAC
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateNovember 8, 2023

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