Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Defiance Outpatient Treatment Center

Organization Addiction (Substance Use Disorder) Counselor · NPI 1740400365

Fort Defiance Outpatient Treatment Center is an Addiction (Substance Use Disorder) Counselor in Fort Defiance, Arizona. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

5 Miles SW Of The Fd Field House Bldg #6905
Fort Defiance, AZ 86504-1490
Phone: (928) 729-4012
Fax: (928) 729-4200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1740400365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eukerison Tsinajinie — Clinical Director · (928) 729-4012
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing addressPo Box 1490, Fort Defiance, AZ 86504-1490

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