Doctor Name: | APRIL LAIN |
NPI Number: | 1083042741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LISAC |
License Number: | LISAC10221 |
Business Practice Address: | 15270 W Brookside Ln Ste 121 Surprise, AZ - 853742449 |
Business Phone Number: | 6234320668 |
Business Fax Number: | |
Mailing Address: | 21139 W Caravaggio Ln, WITTMANN |
State: | AZ |
Postal Code: | 853618685 |
Phone Number: | 6232105951 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2013 |
NPI Last Update Date: | 12/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LISAC10221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |