Individual provider · Type 1 NPI

Gavriella Grace Montoya Y. Tierney, LSAA

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1871264267 Active

Practice location

630 Haines Ave NW
Albuquerque, NM 87102-1226

Call (505) 268-5611 Map

Fax (505) 268-5736

Mailing address

4106 5th St NW
Albuquerque, NM 87107-3509

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCSA0220211 (NM)

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

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About NPI 1871264267

Gavriella Grace Montoya Y. Tierney, LSAA's National Provider Identifier is 1871264267, issued on Sep 24, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 24, 2021.