Individual provider · Type 1 NPI

Thomas Baughman, L.I.S.A.C.

Addiction (Substance Use Disorder) Counselor · Fort Mohave, AZ

NPI number 1992977300 Active

Practice location

5767 Ruth Dr
Fort Mohave, AZ 86426-8828

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC 10256 (AZ)

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

About NPI 1992977300

Thomas Baughman, L.I.S.A.C.'s National Provider Identifier is 1992977300, issued on Mar 25, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Mohave, AZ. The record was last updated on Mar 25, 2008.