BRAD TODD MATTINGLY

FLAGSTAFF, AZ
NPI1386994564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC1135)
Enumeration Date2012-09-14
Last Update Date2023-11-07
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
Mailing Address
Mr. BRAD TODD MATTINGLY MA, LISAC, CDVC
3003 N CENTRAL AVE STE 400
PHOENIX, AZ 85012-2929
Phone number: 602-685-6000