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NPI Code Detail

MEDICARE: DESERT VISTA COUNSELING SERVICES

MEDICARE: DESERT VISTA COUNSELING SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1386066181
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT VISTA COUNSELING SERVICES
Provider Business Mailing Address
First Line : 7565 E EAGLE CREST DR STE 201
Second Line :
City : MESA
State : AZ
Zip : 85207-1067
Country : US
Telephone Number : 480-788-5069
Fax Number :
Provider Business Practice Location Address
First Line : 7565 E EAGLE CREST DR STE 201
Second Line :
City : MESA
State : AZ
Zip : 85207-1067
Country : US
Telephone Number : 480-788-5069
Fax Number :
Authorized Official
Title or Position : MANAGER/OWNER
Name : PATRICIA A MARTINEAU
Credential :
Telephone Number : 480-201-1427
Provider Enumeration Date : 01/13/2014
Last Update Date : 09/11/2025

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Directions to “DESERT VISTA COUNSELING SERVICES ” Practice Location

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