Individual provider · Type 1 NPI

Peter Paul Pecos, LADC

Addiction (Substance Use Disorder) Counselor · Jemez Pueblo, NM

NPI number 1669662979 Active

Practice location

110 Sheep Springs Way
Jemez Pueblo, NM 87024

Call (505) 834-7258 Map

Fax (505) 834-9501

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0105861 (NM)

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

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About NPI 1669662979

Peter Paul Pecos, LADC's National Provider Identifier is 1669662979, issued on Aug 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jemez Pueblo, NM. The record was last updated on Sep 28, 2012.