person
Mrs. Virginia Arizona-fat, LISAC,CPS
Addiction (Substance Use Disorder) Counselor in Page, Arizona
NPI 1467481168

Virginia Arizona-fat is an Addiction (Substance Use Disorder) Counselor based in Kaibeto, AZ and is specialized in Addiction (Substance Use Disorder). Virginia Arizona-fat practices in Page, AZ and has the professional credentials of LISAC,CPS. The NPI Number for Virginia Arizona-fat is 1467481168 and holds a License No. LISAC-11471 (Arizona).

The current practice location address for Virginia Arizona-fat is 337 N. Navajo Drive, Page, AZ and can be reached out via phone at 928-645-6480 and via fax at 928-645-8158.

Location: 337 N. Navajo Drive, Page, AZ, 86053-2147
person
Provider Profile Details
NPI Number
1467481168
Provider Name
Virginia Arizona-fat
Credential
LISAC,CPS
Provider Entity Type
Individual
Gender
Female
Address
337 N. Navajo Drive, Page, AZ, 86053-2147
Phone Number
928-645-6480
Fax Number
928-645-8158
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
972572 05 AZ
institution
Provider Business Practice Location Address Details
Address
337 N. Navajo Drive
City
State
Zip
86040
Phone Number
928-645-6480
Fax Number
928-645-8158
person
Provider Business Mailing Address Details
Address
337 N. Navajo Drive
City
State
Zip
86040
Phone Number
928-645-6480
Fax Number
928-645-8158
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-11471 (Arizona)
Definition
Definition to come...
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