Individual provider · Type 1 NPI

Mariah Jacklyn Gallegos

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1275362089 Active

Practice location

13139 Central Ave NE
Albuquerque, NM 87123-3031

Call (505) 595-1607 Map

Fax (505) 212-4610

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2026-0198 (NM)

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

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About NPI 1275362089

Mariah Jacklyn Gallegos's National Provider Identifier is 1275362089, issued on Jul 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 10, 2026.