Individual provider · Type 1 NPI

Jerrald Tom James, LADAC, LMSW

Addiction (Substance Use Disorder) Counselor · Farmington, NM

NPI number 1265077275 Active

Practice location

475 E 20th St Ste D
Farmington, NM 87401-2132

Fax (505) 564-4925

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAD0205831 (NM)

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

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About NPI 1265077275

Jerrald Tom James, LADAC, LMSW's National Provider Identifier is 1265077275, issued on Nov 13, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmington, NM. The record was last updated on Nov 13, 2019.