Individual provider · Type 1 NPI
Jennifer John Charley, LADAC
Addiction (Substance Use Disorder) Counselor · Pinehill, NM
NPI number
1659735140
Active
Practice location
15 Behavioral Health Rd
Pinehill, NM 87357
Fax (505) 775-3630
Mailing address
PO Box 490
Pinehill, NM 87357-0490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0119271 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1659735140
Jennifer John Charley, LADAC's National Provider Identifier is 1659735140, issued on Apr 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pinehill, NM. The record was last updated on Apr 11, 2016.