Individual
VERDA DENETSOSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
2717 N STEVES BLVD STE 11, FLAGSTAFF, AZ 86004-3959
(928) 526-2968
(928) 526-0708
Mailing address
2717 N STEVES BLVD STE 11, FLAGSTAFF, AZ 86004-3959
(928) 526-2968
(928) 526-0708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10701
AZ
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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