Individual provider · Type 1 NPI

David Dominguez-Maez, LSAA

Addiction (Substance Use Disorder) Counselor · Espanola, NM

NPI number 1366944308 Active

Practice location

1227 N Railroad Ave
Espanola, NM 87532-3147

Fax (505) 747-8306

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0180121 (NM)

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

4 other providers at this address

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About NPI 1366944308

David Dominguez-Maez, LSAA's National Provider Identifier is 1366944308, issued on Mar 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Espanola, NM. The record was last updated on Mar 6, 2018.