Individual provider · Type 1 NPI

Mary E. Benally, LADAC, LISAC

Addiction (Substance Use Disorder) Counselor · Shiprock, NM

NPI number 1801003660 Active

Practice location

Hwy 491 N., Pinon St.
Shiprock, NM 87420

Fax (505) 368-1055

Mailing address

PO Box 102
Waterflow, NM 87421-0102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3814 (NM)
Addiction (Substance Use Disorder) Counselor 101YA0400X11490 (AZ)

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

5 other providers at this address

Other addiction (substance use disorder) counselor providers in Shiprock

See all in Shiprock →

About NPI 1801003660

Mary E. Benally, LADAC, LISAC's National Provider Identifier is 1801003660, issued on May 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shiprock, NM. The record was last updated on Jul 8, 2007.