LUANITA MARIE ETSITY
NPI 1821641986
Counselor - Addiction (Substance Use Disorder) in Shiprock, NM
Active since July 18, 2019
About Luanita Marie Etsity NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUANITA MARIE ETSITY (NPI 1821641986) is an individual addiction (substance use disorder) provider in Shiprock, New Mexico, licensed in New Mexico (0092811) and active in the NPI registry since July 2019.
NPPES Registry Identity
NPI1821641986
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLUANITA MARIE ETSITY
Location AddressHWY 491 NORTH PINON STREETShiprock, NM 87420-1830
Mailing AddressPo Box 1830Shiprock, NM 87420-1830 · (505) 368-1589
Phone(505) 368-1589
Sole ProprietorNo
Enumeration DateJuly 18, 2019
✔ NPI 1821641986 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · 0092811
HWY 491 NORTH PINON STREET, Shiprock, NM 87420
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821641986, enumerated as an "individual" on July 18, 2019.
The provider is located at HWY 491 NORTH PINON STREET SHIPROCK, NM 87420 and the phone number is (505) 368-1589.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
