Individual provider · Type 1 NPI

Alvera R. Upshaw, LADAC

Addiction (Substance Use Disorder) Counselor · Gallup, NM

NPI number 1972634962 Active

Practice location

650 Vanden Bosch Pkwy, # B
Gallup, NM 87301-5508

Fax (505) 722-6192

Mailing address

1901 Redrock Dr, Pfs Dept
Gallup, NM 87301-5683

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3525 (NM)

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

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About NPI 1972634962

Alvera R. Upshaw, LADAC's National Provider Identifier is 1972634962, issued on Mar 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gallup, NM. The record was last updated on Jul 8, 2007.