Individual
RITA JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.AD, LADAC, CACIII,
Contact information
Practice address
PINON & COTTONWOOD DR BUILDING #2301, SHIPROCK, NM 87420
(505) 368-1438
(505) 368-1461
Mailing address
PO BOX 273, TOWAOC, CO 81334-0273
(970) 560-2414
(505) 368-1467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17315
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
1864
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3955
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
RRNN32
AZ
Other
Enumeration date
05/18/2007
Last updated
09/20/2019
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