person
Mr. Brad Todd Mattingly, MA,LISAC,CDVC
Addiction (Substance Use Disorder) Counselor in Flagstaff, Arizona
NPI 1386994564

Brad Todd Mattingly is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Brad Todd Mattingly practices in Flagstaff, AZ and has the professional credentials of MA,LISAC,CDVC. The NPI Number for Brad Todd Mattingly is 1386994564 and holds a License No. LISAC1135 (Arizona).

The current practice location address for Brad Todd Mattingly is 1750 S Woodlands Village Blvd Ste 135, Flagstaff, AZ and can be reached out via phone at 602-685-6000 and via fax at 928-679-2181. You can also correspond with Brad Todd Mattingly through the mailing address at 3003 N CENTRAL AVE STE 400, PHOENIX, AZ - 85012-2929 (mailing address contact number: 602-685-6000).

Location: 1750 S Woodlands Village Blvd Ste 135, Flagstaff, AZ, 85012-2929
person
Provider Profile Details
NPI Number
1386994564
Provider Name
Brad Todd Mattingly
Credential
MA,LISAC,CDVC
Provider Entity Type
Individual
Gender
Male
Address
1750 S Woodlands Village Blvd Ste 135, Flagstaff, AZ, 85012-2929
Phone Number
602-685-6000
Fax Number
928-679-2181
Provider Enumeration Date
09/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1750 S Woodlands Village Blvd Ste 135
City
State
Zip
86001-2699
Phone Number
602-685-6000
Fax Number
928-679-2181
person
Provider Business Mailing Address Details
Address
3003 N Central Ave Ste 400
City
State
Zip
85012-2929
Phone Number
602-685-6000
Fax Number
928-679-2199
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC1135 (Arizona)
Definition
Definition to come...
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