Individual provider · Type 1 NPI

Angel R. Gordo, LSAA

Addiction (Substance Use Disorder) Counselor · Roswell, NM

NPI number 1861033409 Active

Practice location

72 Gail Harris St
Roswell, NM 88203-8116

Mailing address

3013 La Jolla Ln
Roswell, NM 88201-5218

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCSA0206891 (NM)

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

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About NPI 1861033409

Angel R. Gordo, LSAA's National Provider Identifier is 1861033409, issued on Oct 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roswell, NM. The record was last updated on Oct 4, 2019.