Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. YASSAR E CANCHOLA, BA, LISAC
ActiveAddiction (Substance Use Disorder) Counselor · BENSON, AZ
Registration Details
- NPI Number
- 1871685958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.593273412693 yrs)
- Last Updated
- May 20, 2025
- License
-
LISAC11046 (AZ)
Practice Information
- Address
-
611 W UNION STBENSON, AZ, 856026718Browse AZ providers · Browse ZIP 85602
- Phone
- 5205860800
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BENSON, AZ
| Name | Credential | NPI |
|---|---|---|
| JUDETH L THORNDIKE | LISAC, BSBA | 1992897227 |
| DANIEL BARDEN | M.S. | 1780993048 |
| DEBRA A HEATON | LISAC | 1982058012 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.