Individual provider · Type 1 NPI
Jodene Packard, MA
Counselor · Flagstaff, AZ
NPI number
1316035959
Active
Practice location
1006 W Elizabeth Rd
Flagstaff, AZ 86001-1204
Fax (928) 213-9740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC2508 (AZ) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC 1466 (AZ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1316035959
Jodene Packard, MA's National Provider Identifier is 1316035959, issued on Oct 10, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Flagstaff, AZ. The record was last updated on May 15, 2013.