Doctor Name: | MS. SHERRI ANN JOE |
NPI Number: | 1033434832 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISAC |
License Number: | LISAC-11492 |
Business Practice Address: | Route 7 Route 7 Chinle, AZ - 86507 |
Business Phone Number: | 9286742570 |
Business Fax Number: | |
Mailing Address: | P.o. Box 777, Route 7 CHINLE |
State: | AZ |
Postal Code: | 86507 |
Phone Number: | 9286742570 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2010 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LISAC-11492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |