Individual provider · Type 1 NPI

Tracy Shaw, LADAC

Addiction (Substance Use Disorder) Counselor · Rio Rancho, NM

NPI number 1629514633 Active

Practice location

4100 Barbara Loop SE
Rio Rancho, NM 87124-1000

Call (505) 702-8547 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0141901 (NM)

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

40 other providers at this address

Other addiction (substance use disorder) counselor providers in Rio Rancho

See all in Rio Rancho →

About NPI 1629514633

Tracy Shaw, LADAC's National Provider Identifier is 1629514633, issued on Jan 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rio Rancho, NM. The record was last updated on Jan 13, 2017.