Organization
KAIBETO OUTPATIENT TREATMENT CENTER
Active
Other names
Navajo Nation
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL DICKSON M.A., M.ED., LPC (BEHAVIORAL HEALTH DIRECTOR)
(928) 673-3267
Entity
Organization
Contact information
Practice address
0.5 MILE SOUTH OF KAIBETO MARKET, KAIBETO, AZ 86053-2147
(928) 673-3267
(928) 673-3269
Mailing address
PO BOX 2147, KAIBETO, AZ 86053-2147
(928) 673-3267
(928) 673-3269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
822909
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822909
—
AZ
Enumeration date
05/01/2007
Last updated
03/10/2022
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