Individual provider · Type 1 NPI

Gerald L. Watchman, LADAC

Addiction (Substance Use Disorder) Counselor · Gallup, NM

NPI number 1215068200 Active

Practice location

650 Vanden Bosch Pkwy, B
Gallup, NM 87301-5508

Fax (505) 722-6192

Mailing address

1901 Redrock Dr, Pfs Dept
Gallup, NM 87301-5683

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X73141 (NM)

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

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About NPI 1215068200

Gerald L. Watchman, LADAC's National Provider Identifier is 1215068200, issued on Mar 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gallup, NM. The record was last updated on Jul 8, 2007.