Rhonda Alsobrook, PSYD, LASAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bullhead City, AZ

NPI 1104299718 · NPPES record last updated Nov 4, 2015

Key facts

NPI
1104299718
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LASAC13021 (AZ)
Practice address
1145 Marina Blvd
Bullhead City, AZ 86442-5716
Phone
(928) 758-5905
Fax
(928) 758-8790
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LASAC13021AZMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LASAC13021 AZ Yes

Addresses

Primary practice location

1145 Marina Blvd
Bullhead City, AZ 86442-5716

Mailing address

1743 Sycamore Ave
Kingman, AZ 86409-0927
Phone (928) 757-8111

Other providers in Bullhead City, AZ

All providers in Bullhead City, AZ · Addiction (Substance Use Disorder) Counselor in Arizona

Sources for this page

Verify at the official NPI Registry.