Provider Demographics
NPI:1902042161
Name:SOWARD, JAMES M (LPC, LISAC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:SOWARD
Suffix:
Gender:M
Credentials:LPC, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 E BROADWAY BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3721
Mailing Address - Country:US
Mailing Address - Phone:520-584-0343
Mailing Address - Fax:
Practice Address - Street 1:5350 E BROADWAY BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3721
Practice Address - Country:US
Practice Address - Phone:520-584-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC 1357101YA0400X
AZLPC 10503101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)