Janet S Patton-Martinez
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Oracle, AZ
NPI 1447375993 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1447375993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LISAC-1181 (AZ)
- Practice address
- 980 E. Mt. Lemmon Road
Oracle, AZ 85623 - Phone
- (480) 288-5328
- Fax
- (480) 288-5339
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-1181 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-1181 | AZ | Yes |
Addresses
Primary practice location
980 E. Mt. Lemmon Road
Oracle, AZ 85623
Mailing address
PO Box 3160
Apache Junction, AZ 85217-3160
Phone (480) 288-5328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189168 | Medicaid | AZ |
Other providers in Oracle, AZ
- Dawn Nicole Martinez
- Kathleen Margenau McAndrews
- Helen E Nack
- Philip Nice
- Oracle Elementary School District
- Pinal County Arizona
- Shemuel Benn Psalms
- Andrea Quintana
- Jocelyn Alyssa Rechichar Muzzin
- Sierra Oaks Community School
All providers in Oracle, AZ · Addiction (Substance Use Disorder) Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.