Individual provider · Type 1 NPI

Suzannah Miriam Gould, LADAC

Addiction (Substance Use Disorder) Counselor · Shiprock, NM

NPI number 1972769875 Active

Practice location

Hwy 491 North Pinion Street
Shiprock, NM 87420

Fax (505) 368-1437

Mailing address

PO Box 1830
Shiprock, NM 87420-1830

Other practice locations

  • 1001-D West Broadway, Presbyterian Medical Services, Farmington, NM 87401-5638 · (505) 325-0238

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4441 (NM)

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

2 other providers at this address

Other addiction (substance use disorder) counselor providers in Shiprock

See all in Shiprock →

About NPI 1972769875

Suzannah Miriam Gould, LADAC's National Provider Identifier is 1972769875, issued on Jul 31, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shiprock, NM. The record was last updated on Jul 12, 2019.