person
Corine John-dodge, LSAA
Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico
NPI 1164923280

Corine John-dodge is an Addiction (Substance Use Disorder) Counselor based in Farmington, NM and is specialized in Addiction (Substance Use Disorder). Corine John-dodge practices in Farmington, NM and has the professional credentials of LSAA. The NPI Number for Corine John-dodge is 1164923280 and holds a License No. 0156181 (New Mexico).

The current practice location address for Corine John-dodge is 607 E Apache St, Farmington, NM and can be reached out via phone at 505-326-2012 and via fax at 505-326-2939.

Location: 607 E Apache St, Farmington, NM, 87401-6925
person
Provider Profile Details
NPI Number
1164923280
Provider Name
Corine John-dodge
Credential
LSAA
Provider Entity Type
Individual
Gender
Female
Address
607 E Apache St, Farmington, NM, 87401-6925
Phone Number
505-326-2012
Fax Number
505-326-2939
Provider Enumeration Date
02/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
607 E Apache St
City
State
Zip
87401-6925
Phone Number
505-326-2012
Fax Number
505-326-2939
person
Provider Business Mailing Address Details
Address
607 E Apache St
City
State
Zip
87401-6925
Phone Number
505-326-2012
Fax Number
505-326-2939
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0156181 (New Mexico)
Definition
Definition to come...
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