Individual
MR. CACHORA STANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHT MRT
Contact information
Practice address
6294 S EAGLES TALON PKWY, TUCSON, AZ 85757-1639
(520) 289-1838
(888) 691-1037
Mailing address
6294 S EAGLES TALON PKWY, TUCSON, AZ 85757-1639
(520) 289-1838
(888) 691-1037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083262984
—
AZ
Enumeration date
08/13/2020
Last updated
08/13/2020
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