Individual provider · Type 1 NPI
Lori Jo Kometer, MA, LIAC
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1386163574
Active
Practice location
8727 E Keats Av
Mesa, AZ 85209-5351
Fax (602) 425-7045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LASAC-13266 (AZ) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LIAC-15081 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386163574
Lori Jo Kometer, MA, LIAC's National Provider Identifier is 1386163574, issued on Sep 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Jul 30, 2026.