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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANTHONY EUGENE GREENIDGE, AZ LISAC - 15204

Active Sole Proprietor

MR. ANTHONY EUGENE GREENIDGE, AZ LISAC - 15204 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GOODYEAR, Arizona. NPI 1518102151 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · GOODYEAR, AZ

Registration Details

NPI Number
1518102151
Provider Type
Individual
Gender
Male
NPI Issued
Dec 11, 2008 (17.652235346328 yrs)
Last Updated
Sep 30, 2021
Licenses
15204 (AZ)
1322 (NC)
Sole Proprietor
Yes

Practice Information

Address
17446 W PAPAGO ST
GOODYEAR, AZ, 853381903
Browse AZ providers · Browse ZIP 85338
Phone
9198276628

Other Addiction (Substance Use Disorder) Counselor Providers in GOODYEAR, AZ

Name Credential NPI
RIA FLANAGAN MA MFT, LISAC, CSAT 1912317199
SUSAN POWELL 1104317338
CHRISTOPHER PIEPER LIAC 1134938137
MRS. ANGELLICIA VANESSA D'ANJOU LIAC 1750259453
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.