MRS. DEDRA TSOSIE
NPI 1811411580
Counselor - Mental Health in Ft. Defiance, AZ
Active since August 03, 2017
About Mrs. Dedra Tsosie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DEDRA TSOSIE (NPI 1811411580) is an individual mental health provider in Ft. Defiance, Arizona, licensed in New Mexico (0188471) and active in the NPI registry since August 2017.
NPPES Registry Identity
NPI1811411580
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DEDRA TSOSIE
Location AddressCORNER OF ROUTES N12 & N7Ft. Defiance, AZ 86504
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649 · (928) 729-8000
Phone(928) 729-8878
Sole ProprietorNo
Enumeration DateAugust 3, 2017
✔ NPI 1811411580 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · 0188471
CORNER OF ROUTES N12 & N7, Ft. Defiance, AZ 86504
Other Names 1
Former Name (1)Ms. Dedra Youvella Lmhc
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Lactation Consultant)
CORNER OF ROUTES N12 & N7
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811411580, enumerated as an "individual" on August 03, 2017.
The provider is located at CORNER OF ROUTES N12 & N7 FT. DEFIANCE, AZ 86504 and the phone number is (928) 729-8878.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
