Individual provider · Type 1 NPI

Roy Whiteeagle, L.A.D.A.C.

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1376962225 Active

Practice location

4300 Silver Ave SE, Suite F
Albuquerque, NM 87108-2748

Call (505) 255-1804 Map

Fax (505) 265-4446

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X05998 (NM)

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

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About NPI 1376962225

Roy Whiteeagle, L.A.D.A.C.'s National Provider Identifier is 1376962225, issued on Apr 8, 2014. 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 Apr 8, 2014.