Organization · Type 2 NPI
Listo Health LLC
Addiction Medicine (Psychiatry & Neurology) Physician · Albuquerque, NM
Practice location
5400 Gibson Blvd SE
Albuquerque, NM 87108-5566
Mailing address
5400 Gibson Blvd SE Ste 4
Albuquerque, NM 87108-5181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
| Addiction Psychiatry Physician | 2084P0802X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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About NPI 1437965415
Listo Health LLC's National Provider Identifier is 1437965415, issued on Dec 5, 2024. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 10, 2024.