Judeth L Thorndike, LISAC, BSBA

NPI #1992897227 in Benson, Arizona

Provider Information

NPI Number: 1992897227
Entity Type: Individual
Name: Judeth L Thorndike, LISAC, BSBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LISAC, BSBA
Enumeration Date: Sep 28, 2006
Last Updated: Feb 25, 2019

Practice Location

Address: 335 S OCOTILLO AVE
City: Benson
State: Arizona
ZIP Code: 85602
Phone: (520) 586-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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