| Organization Name: | KAYENTA COUNSELING SERVICES |
| NPI Number: | 1780878801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNA BOONE (SUPERVISORY SOCIAL WORKER) |
| Mailing Address: | Highway 163-bldg-ka-2010 Kayenta |
| State: | AZ US |
| Postal Code: | 860330368 |
| Phone Number: | 9286954000 |
| Fax Number: | 9286974189 |
| NPI Enumeration Date: | 08/31/2007 |
| NPI Last Update Date: | 08/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | LCSW-11436 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |