Individual provider · Type 1 NPI
Mary R. Gomez, LADAC
Addiction (Substance Use Disorder) Counselor · Albuq, NM
NPI number
1275974792
Active
Practice location
1611 Central Ave. NW
Albuq, NM 87104
Fax (505) 247-1373
Mailing address
1611 Central Ave NW
Albuquerque, NM 87104-1139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3678 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1275974792
Mary R. Gomez, LADAC's National Provider Identifier is 1275974792, issued on Jul 12, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuq, NM. The record was last updated on Jul 12, 2013.