Packard, Jodene

Packard, Jodene is an sole proprietor health care provider with primary practice located at 1006 W Elizabeth Rd , Flagstaff AZ 86001-1204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Packard, Jodene can be contacted via phone (928) 607-8495.

Contact Information

Primary practice address
1006 W Elizabeth Rd Flagstaff AZ 86001-1204
Phone: (928) 607-8495
Fax: (928) 213-9740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC2508 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC 1466 Arizona

Profile Details

NPI number 1316035959
LBN Legal business name Packard, Jodene
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated May 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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