Individual provider · Type 1 NPI
Nettie Lynne Rose, LISW LADAC
Addiction (Substance Use Disorder) Counselor · Albuquerque, NM
NPI number
1407847403
Active
Practice location
1610 San Pedro NE #A
Albuquerque, NM 87110
Fax (505) 268-5722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4198 (NM) |
| Mental Health Counselor | 101YM0800X | I4453 (NM) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C-4453 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1407847403
Nettie Lynne Rose, LISW LADAC's National Provider Identifier is 1407847403, issued on Oct 31, 2005. 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 Sep 9, 2020.