| Johana Vanessa Basurto, | |
|
12104 E Ryscott Cir, Vail, AZ 85641-0255 | |
| (928) 366-4541 | |
| Not Available |
| Full Name | Johana Vanessa Basurto |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 12104 E Ryscott Cir, Vail, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619763893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-16826 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johana Vanessa Basurto, 12104 E Ryscott Cir, Vail, AZ 85641-0255 Ph: () - | Johana Vanessa Basurto, 12104 E Ryscott Cir, Vail, AZ 85641-0255 Ph: (928) 366-4541 |
Amber Poplewko-armstrong, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17461 S Indigo Crest Pass, Vail, AZ 85641 Phone: 520-481-3037 | |
Anna Steele, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14600 E Colossal Cave Rd, Vail, AZ 85641 Phone: 520-474-5574 |