Shaun Edgar Oldridge, LASAC - Counselor in Phoenix, AZ

Shaun Edgar Oldridge, LASAC is a Counselor - Addiction (substance Use Disorder) based in Phoenix, Arizona. Shaun Edgar Oldridge is licensed to practice in Arizona (license number 08007T) and his current practice location is 2102 W Bethany Home Rd, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (480) 208-8505.

NPI number for Shaun Edgar Oldridge is 1669240248 and his current mailing address is 2102 W Bethany Home Rd, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669240248.

Contact Information

Shaun Edgar Oldridge, LASAC
2102 W Bethany Home Rd,
Phoenix, AZ 85015-1935
(480) 208-8505
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShaun Edgar Oldridge
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2102 W Bethany Home Rd, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669240248
  • Provider Enumeration Date: 12/13/2023
  • Last Update Date: 12/13/2023

Medical Identifiers

Medical identifiers for Shaun Edgar Oldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669240248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 08007T (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaun Edgar Oldridge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shaun Edgar Oldridge, LASAC
2102 W Bethany Home Rd,
Phoenix, AZ 85015-1935

Ph: (027) 744-4745
Shaun Edgar Oldridge, LASAC
2102 W Bethany Home Rd,
Phoenix, AZ 85015-1935

Ph: (480) 208-8505

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