Doctor Name: | MR. MICHAEL JOHN ROMERO |
NPI Number: | 1134307861 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISAC-0659 |
License Number: | LISAC-0659 |
Business Practice Address: | 483 W Seed Farm Rd New Beginnings Build Sacaton, AZ - 85247 |
Business Phone Number: | 6025287167 |
Business Fax Number: | 6025281374 |
Mailing Address: | 438 W Seed Farm Rd, New Beginnings Build SACATON |
State: | AZ |
Postal Code: | 85247 |
Phone Number: | 6025287167 |
Fax Number: | 6025281374 |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LISAC-0659 |
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: |