Individual provider · Type 1 NPI

Theresa J. Paul, LADAC

Addiction (Substance Use Disorder) Counselor · Shiprock, NM

NPI number 1356874267 Active

Practice location

Hwy 491 N. Pinon St.
Shiprock, NM 87420-1830

Call (505) 368-1438 Map

Fax (505) 368-1452

Mailing address

PO Box 1830
Shiprock, NM 87420-1830

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0178601 (NM)

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

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About NPI 1356874267

Theresa J. Paul, LADAC's National Provider Identifier is 1356874267, issued on Apr 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shiprock, NM. The record was last updated on Jul 9, 2019.