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1386994564
BRAD TODD MATTINGLY
FLAGSTAFF, AZ
NPI
1386994564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC1135)
Enumeration Date
2012-09-14
Last Update Date
2023-11-07
Business Address
Mr. BRAD TODD MATTINGLY MA, LISAC, CDVC
1750 S WOODLANDS VILLAGE BLVD STE 135
FLAGSTAFF, AZ 86001-2699
Phone number: 602-685-6000
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Mailing Address
Mr. BRAD TODD MATTINGLY MA, LISAC, CDVC
3003 N CENTRAL AVE STE 400
PHOENIX, AZ 85012-2929
Phone number: 602-685-6000
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