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

Corine John-Dodge, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164923280

Corine John-Dodge, LSAA is an Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2018

Practice location Address checks out

607 E Apache St
Farmington, NM 87401-6925
Phone: (505) 326-2012
Fax: (505) 326-2939
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0156181 (NM)

Record details

NPI number1164923280
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSAA
Sole proprietorYes
NPI enumeratedFebruary 23, 2018
Last updated in NPPESFebruary 23, 2018

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