Individual provider · Type 1 NPI
Luciano Calabaza, LADAC
Addiction (Substance Use Disorder) Counselor · Santo Domingo Pueblo, NM
NPI number
1306046487
Active
Practice location
10 Tesuque St
Santo Domingo Pueblo, NM 87052-9998
Fax (505) 465-0433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3697 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
About NPI 1306046487
Luciano Calabaza, LADAC's National Provider Identifier is 1306046487, issued on Jul 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santo Domingo Pueblo, NM. The record was last updated on Jul 18, 2007.