person
Lisa John, MSW,LADAC
Addiction (Substance Use Disorder) Counselor in Kayenta, Arizona
NPI 1861686446

Lisa John is an Addiction (Substance Use Disorder) Counselor based in Kayenta, AZ and is specialized in Addiction (Substance Use Disorder). Lisa John practices in Kayenta, AZ and has the professional credentials of MSW,LADAC. The NPI Number for Lisa John is 1861686446 and holds a License No. 4575 (Arizona).

The current practice location address for Lisa John is Hwy 160 163 Blding Ka 2010, Kayenta, AZ and can be reached out via phone at 928-697-4185 and via fax at 928-697-4189.

Location: Hwy 160 163 Blding Ka 2010, Kayenta, AZ, 86033-0368
person
Provider Profile Details
NPI Number
1861686446
Provider Name
Lisa John
Credential
MSW,LADAC
Provider Entity Type
Individual
Gender
Female
Address
Hwy 160 163 Blding Ka 2010, Kayenta, AZ, 86033-0368
Phone Number
928-697-4185
Fax Number
928-697-4189
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
060012 05 AZ
institution
Provider Business Practice Location Address Details
Address
Hwy 160 163 Blding Ka 2010
City
State
Zip
86033-0368
Phone Number
928-697-4185
Fax Number
928-697-4189
person
Provider Business Mailing Address Details
Address
Hwy 160 163 Blding Ka 2010
City
State
Zip
86033-0368
Phone Number
928-697-4185
Fax Number
928-697-4189
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4575 (New Mexico)
Definition
Definition to come...
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