Individual
MR. JOHN W. LOOSLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
819 NO. NAVAJO DR., SUITE # 4, PAGE, AZ 86040
(928) 645-2744
(928) 645-2745
Mailing address
P.O. BOX 822, PAGE, AZ 86040
(928) 645-2744
(928) 645-2745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11712
AZ
1041C0700X
Clinical Social Worker
113433-3501
UT
1041C0700X
Clinical Social Worker
LCSE-2819
AZ
106H00000X
Marriage & Family Therapist
Primary
113433-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797095
—
AZ
Enumeration date
01/09/2007
Last updated
09/11/2025
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