| Mrs Virginia Arizona-fat, LISAC,CPS | |
|
337 N. Navajo Drive, Page, AZ 86040 | |
| (928) 645-6480 | |
| (928) 645-8158 |
| Full Name | Mrs Virginia Arizona-fat |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 337 N. Navajo Drive, Page, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467481168 | NPI | - | NPPES |
| 972572 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11471 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Virginia Arizona-fat, LISAC,CPS Po Box 2147, Kaibeto, AZ 86053-2147 Ph: (928) 673-3267 | Mrs Virginia Arizona-fat, LISAC,CPS 337 N. Navajo Drive, Page, AZ 86040 Ph: (928) 645-6480 |
Matthew Aaron Lasslo, Counselor Medicare: Medicare Enrolled Practice Location: 463 S Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 Fax: 928-645-3254 | |
Jared Lynn Kummer, Counselor Medicare: Medicare Enrolled Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 | |
Mr. Norman Ray Stevens, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 337 N. Navajo Drive, Page, AZ 86040 Phone: 928-645-6840 Fax: 928-645-8158 | |
Peggy Fuhrman, MASTERS EDUCATION Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 S. Navajo, Page, AZ 86040 Phone: 928-608-4200 Fax: 928-645-5059 | |
Mr. John Valvo, BA, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 Fax: 928-645-3254 | |
Irene B Jones, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 434 S Lake Powell Blvd, Page, AZ 86040 Phone: 928-608-4170 Fax: 928-645-9243 | |
Mrs. Beverly Jean Horton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 |