Individual provider · Type 1 NPI
Athena Marie Gassoumis, M.DIV., LADAC
Addiction (Substance Use Disorder) Counselor · Socorro, NM
NPI number
1649569575
Active
Practice location
119 Court St, Pob 876
Socorro, NM 87801-4505
Mailing address
115-119 Court Street, P.o.box 876
Socorro, NM 87801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0087871 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Socorro
About NPI 1649569575
Athena Marie Gassoumis, M.DIV., LADAC's National Provider Identifier is 1649569575, issued on Mar 31, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Socorro, NM. The record was last updated on Mar 31, 2011.