Individual provider · Type 1 NPI
Jeanette Vice Toledo Vice, LSAA
Addiction (Substance Use Disorder) Counselor · Ojo Encino, NM
NPI number
1083986871
Active
Practice location
HC 79 Box 1510
Ojo Encino, NM 87013-9612
Fax (505) 731-1502
Mailing address
HC 79 Box 1508
Ojo Encino, NM 87013-9612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 070481 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Ojo Encino
About NPI 1083986871
Jeanette Vice Toledo Vice, LSAA's National Provider Identifier is 1083986871, issued on Feb 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ojo Encino, NM. The record was last updated on Feb 8, 2012.