Individual
HERLANDA BECENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1/4 MILE S. OF WR FIELD HOUSE BLDG.# 6905, FT. DEFIANCE, AZ 86504-1490
(928) 729-4012
(928) 729-4200
Mailing address
PO BOX 1490, FORT DEFIANCE, AZ 86504-1490
(928) 729-4012
(928) 729-4200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0125481
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/06/2019
Last updated
06/28/2019
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