Individual provider · Type 1 NPI
Larry Steve Archuleta Sr. Sr., LICENSE ALCOHOL & DR
Addiction (Substance Use Disorder) Counselor · Alb, NM
NPI number
1487057246
Active
Practice location
1611 Central NW
Alb, NM 87104
Fax (505) 247-1373
Mailing address
8112 Vista Estrella Ln. S.w
Alb, NM 87121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3695 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1487057246
Larry Steve Archuleta Sr. Sr., LICENSE ALCOHOL & DR's National Provider Identifier is 1487057246, issued on Oct 7, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Alb, NM. The record was last updated on Oct 7, 2014.