Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDETH L THORNDIKE, LISAC, BSBA
ActiveAddiction (Substance Use Disorder) Counselor · BENSON, AZ
Registration Details
- NPI Number
- 1992897227
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2006 (19.593264992358 yrs)
- Last Updated
- Feb 25, 2019
- License
-
LISAC1602 (AZ)
Practice Information
- Address
-
335 S OCOTILLO AVEBENSON, AZ, 85602Browse AZ providers · Browse ZIP 85602
- Phone
- 5205864040
- Fax
- 5205864423
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BENSON, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. YASSAR E CANCHOLA | BA, LISAC | 1871685958 |
| 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.