Tara Fusillo, LASAC
Tara Fusillo, 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
- Specialties on file
- 2
Practice location Address checks out
3050 W Agua Fria Fwy Ste 150Phoenix, AZ 85027-3998
Phone: (928) 713-1619
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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 LASAC-15247 |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 15247 (AZ) |
Record details
| NPI number | 1356113179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LASAC |
| Sole proprietor | No |
| NPI enumerated | October 25, 2023 |
| Last updated in NPPES | October 25, 2023 |
| Certification date | October 25, 2023 |
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