Organization · Type 2 NPI
Desert Path
Addiction (Substance Use Disorder) Counselor · Cornville, AZ
NPI number
1649676040
Active
Practice location
12170 E Cornville Rd
Cornville, AZ 86325-5260
Fax (928) 708-9620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1649676040
Desert Path's National Provider Identifier is 1649676040, issued on Nov 12, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cornville, AZ. The record was last updated on Nov 12, 2014.