Individual provider · Type 1 NPI

Tracy Gillock

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1407678659 Active

Practice location

13139 Central Ave NE
Albuquerque, NM 87123-3031

Call (505) 595-1607 Map

Other practice locations

  • 1528 5 Pts Rd SW, Albuquerque, NM 87105-3179 · (505) 588-7438

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X1843 (NM)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2026-0362 (NM)
Community Health Worker 172V00000XNone listed

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

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About NPI 1407678659

Tracy Gillock's National Provider Identifier is 1407678659, issued on Oct 29, 2024. 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 May 22, 2026.