Individual provider · Type 1 NPI

Robert E. Maitland, LSAA

Addiction (Substance Use Disorder) Counselor · Las Cruces, NM

NPI number 1174032833 Active

Practice location

105 W Griggs Ave
Las Cruces, NM 88001

Fax (575) 647-2898

Mailing address

385 Calle De Alegra Ste A
Las Cruces, NM 88005-3423

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCSA0189151 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174032833

Robert E. Maitland, LSAA's National Provider Identifier is 1174032833, issued on Sep 26, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Cruces, NM. The record was last updated on Jan 20, 2020.