Individual provider · Type 1 NPI
Gwendolyn Minton, LSAI
Addiction (Substance Use Disorder) Counselor · Las Vegas, NM
NPI number
1710016936
Active
Practice location
700 Friedman Ave
Las Vegas, NM 87701-4231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 4460 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1710016936
Gwendolyn Minton, LSAI's National Provider Identifier is 1710016936, issued on Mar 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NM. The record was last updated on Jul 8, 2007.