Individual provider · Type 1 NPI

Lisa John, MSW, LADAC

Addiction (Substance Use Disorder) Counselor · Kayenta, AZ

NPI number 1861686446 Active

Practice location

Hwy 160 163 Blding Ka 2010
Kayenta, AZ 86033-0368

Fax (928) 697-4189

Mailing address

PO Box 368
Kayenta, AZ 86033-0368

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4575 (NM)

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

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About NPI 1861686446

Lisa John, MSW, LADAC's National Provider Identifier is 1861686446, issued on Aug 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kayenta, AZ. The record was last updated on Aug 28, 2007.