Individual provider · Type 1 NPI
Martha N. Toadlena, LISAC
Addiction (Substance Use Disorder) Counselor · Fort Defiance, AZ
NPI number
1053512673
Active
Practice location
Old Community Health Bldg
Fort Defiance, AZ 86504-1490
Fax (928) 729-4097
Mailing address
PO Box 744
Sanders, AZ 86512-0744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11591 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053512673
Martha N. Toadlena, LISAC's National Provider Identifier is 1053512673, issued on May 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Defiance, AZ. The record was last updated on Jul 8, 2007.