| Doctor Name: | RITA JOE |
| NPI Number: | 1053529636 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.AD, LADAC, CACIII, |
| License Number: | 1864 |
| Business Practice Address: | Dorm 2 Yucca St Shiprock, NM - 87420 |
| Business Phone Number: | 5053681465 |
| Business Fax Number: | 5053681467 |
| Mailing Address: | Po Box 273, TOWAOC |
| State: | CO |
| Postal Code: | 813340273 |
| Phone Number: | 9705602414 |
| Fax Number: | 5053681467 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1864 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |