Individual provider · Type 1 NPI
Regina Gorman, MASTER DEGREE
Addiction (Substance Use Disorder) Counselor · Chinle, AZ
NPI number
1376195024
Active
Practice location
Off Highway 191, Phs/ihs Drive, PO Drawer Ph
Chinle, AZ 86503
Fax (928) 674-7600
Mailing address
PO Drawer Ph, Off Highway 191, Phs/ihs Drive
Chinle, AZ 86503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LASAC-15475 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Chinle
About NPI 1376195024
Regina Gorman, MASTER DEGREE's National Provider Identifier is 1376195024, issued on Jul 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chinle, AZ. The record was last updated on Apr 19, 2023.