Individual provider · NPI-1

Bobby Debatt

Counselor, Addiction (Substance Use Disorder) · Bullhead City, AZ

NPI number1962130765
StatusActive
Last updated in NPPESAug 10, 2022

Details

NPI
1962130765
Entity type
Individual (NPI-1)
Name
Bobby Debatt
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2022
Certification date
Aug 4, 2022
Last updated
Aug 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

720 Hancock Rd
Bullhead City, AZ 86442-5004

Phone 928-234-7030

Mailing address

720 Hancock Rd
Bullhead City, AZ 86442-5004

Other practice locations

1160 Agate Road
Bullhead City, AZ 86442

Phone 928-763-1945

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