Individual provider · Type 1 NPI

Ryan R. Jim

Addiction (Substance Use Disorder) Counselor · Farmington, NM

NPI number 1407496979 Active

Practice location

607 E Apache St
Farmington, NM 87401-6925

Call (505) 326-2012 Map

Fax (505) 326-2939

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1407496979

Ryan R. Jim's National Provider Identifier is 1407496979, issued on Jan 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmington, NM. The record was last updated on Jan 13, 2020.