Individual provider · Type 1 NPI

Corine John-Dodge, LSAA

Addiction (Substance Use Disorder) Counselor · Farmington, NM

NPI number 1164923280 Active

Practice location

607 E Apache St
Farmington, NM 87401-6925

Fax (505) 326-2939

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0156181 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164923280

Corine John-Dodge, LSAA's National Provider Identifier is 1164923280, issued on Feb 23, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmington, NM. The record was last updated on Feb 23, 2018.