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

Mr. Brad Todd Mattingly, MA, LISAC, CDVC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386994564

Mr. Brad Todd Mattingly, MA, LISAC, CDVC is an Addiction (Substance Use Disorder) Counselor in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1750 S Woodlands Village Blvd Ste 135
Flagstaff, AZ 86001-2699
Phone: (602) 685-6000
Fax: (928) 679-2181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LISAC1135 (AZ)

Record details

NPI number1386994564
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LISAC , CDVC
Sole proprietorNo
NPI enumeratedSeptember 14, 2012
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

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