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Jodene Packard, MA
Addiction (Substance Use Disorder) Counselor in Flagstaff, Arizona
NPI 1316035959

Jodene Packard is an Addiction (Substance Use Disorder) Counselor based in Flagstaff, AZ and is specialized in Addiction (Substance Use Disorder). Jodene Packard practices in Flagstaff, AZ and has the professional credentials of MA. The NPI Number for Jodene Packard is 1316035959 and holds a License No. LPC2508 (Arizona).

The current practice location address for Jodene Packard is 1006 W Elizabeth Rd, Flagstaff, AZ and can be reached out via phone at 928-607-8495 and via fax at 928-213-9740.

Location: 1006 W Elizabeth Rd, Flagstaff, AZ, 86001-1204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316035959
Provider Name
Jodene Packard
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1006 W Elizabeth Rd, Flagstaff, AZ, 86001-1204
Phone Number
928-607-8495
Fax Number
928-213-9740
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1006 W Elizabeth Rd
City
Flagstaff
State
Arizona
Zip
86001-1204
Phone Number
928-607-8495
Fax Number
928-213-9740
person
Provider Business Mailing Address Details
Address
1006 W Elizabeth Rd
City
Flagstaff
State
Arizona
Zip
86001-1204
Phone Number
928-607-8495
Fax Number
928-213-9740
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LISAC 1466 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC2508 (Arizona)
Definition
Definition to come...
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