Individual
MS. LEVON OLIVIA HATATHLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
NAVAJO ROUTE 4, PINON, AZ 86510-0010
(928) 725-3220
(928) 725-3613
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10327
AZ
104100000X
Social Worker
Primary
LMSW-11911
AZ
Other
Enumeration date
05/10/2007
Last updated
05/06/2015
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