Individual provider · Type 1 NPI

Zachary Gene Petro, LSAA

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1417685652 Active

Practice location

630 Haines Ave NW
Albuquerque, NM 87102-1226

Call (505) 268-5611 Map

Fax (505) 268-5736

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2022-0086 (NM)

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

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About NPI 1417685652

Zachary Gene Petro, LSAA's National Provider Identifier is 1417685652, issued on Aug 14, 2022. 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 Feb 2, 2023.