Individual
BARBARA TODAKONZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
NAVAJO NATION RESERVATION, 300 YARDS SOUTH OF FORT DEFIANCE FIELDHOUSE, FORT 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
LISAC-11372
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329541-01
1
AZ
Enumeration date
05/25/2007
Last updated
07/08/2007
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