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

MRS. DARCY DUDLESTON BRACAMONTE, LISAC

Active Sole Proprietor

MRS. DARCY DUDLESTON BRACAMONTE, LISAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GLENDALE, Arizona. NPI 1902264773 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · GLENDALE, AZ

Registration Details

NPI Number: 1902264773
Provider Type: Individual
Gender: Female
NPI Issued: Feb 8, 2016 (10.531805331809 yrs)
Last Updated: Feb 8, 2016
Licenses: LISAC-11520 (AZ)

LAC-11168 (AZ)
Sole Proprietor: Yes

Practice Information

Address: 17505 N. 79TH AVE

302A

GLENDALE, AZ, 85308
Browse AZ providers · Browse ZIP 85308
Phone: 6238505404
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X
Additional Specialty: Mental Health Counselor

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

Name	Credential	NPI
MR. JOSEPH SZULCZEWSKI	MA, LPC, LISAC	1053300707
MS. SANDRA K. SIEFKEN	LPC, LISAC	1871690933
LURANNA S. PEREZ	LISAC	1861547853
KARRIE ANN CHENEVERT	MAPC, LISAC	1871761171
MR. KELLY MICHAEL FINN	MSW, LISAC	1083886642
MRS. BONNIE ELIZABETH TOKOPH	LISAC, MC	1922254655

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.