MRS. MICHELE DONALDSON HOLBEN LASAC NPI 1790119063

NPI Information

NPI: 1790119063
Provider Name: MRS. MICHELE DONALDSON HOLBEN, LASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3825 N 24TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 248-8886
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MRS. Michele Donaldson Holben, LASAC is an addiction (substance use disorder) counselor in Phoenix, AZ. MRS. Michele Donaldson Holben, LASAC NPI is 1790119063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3825 N 24TH ST
PHOENIX, AZ
ZIP 85016-512
Phone: (602) 248-8886

The enumeration date for this NPI number is 8/22/2013 and was last updated on 8/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ICADC 711815	ARIZONA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CADAC 2071	ARIZONA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LASAC-13027	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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