Angela Daniels-Valenzuela, LISAC

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

NPI 1255586236 · NPPES record last updated Nov 18, 2008

Key facts

NPI
1255586236
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LISAC-10700 (AZ)
Practice address
13549 N Sanders Rd
Marana, AZ 85653-9505
Phone
(520) 682-1091
Fax
(520) 682-4132
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
LISAC-10700AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10700 AZ Yes

Addresses

Primary practice location

13549 N Sanders Rd
Marana, AZ 85653-9505

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4560

Other names

  • Angela Daniels Former name

Other providers in Marana, AZ

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

Sources for this page

Verify at the official NPI Registry.