# ALEJANDRO SUBSTANCE ABUSE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alejandro Substance Abuse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609122753
- **Authorized official:** ALEJANDRO J RIVERA LADAC (OWNER)
- **Authorized official phone:** (505) 617-5846

## Contact information

- **Practice address:** 713 RAILROAD AVE, LAS VEGAS, NM 87701-4532
- **Practice address phone:** (505) 425-2687
- **Practice address fax:** (505) 454-7198
- **Mailing address:** 713 RAILROAD AVE, LAS VEGAS, NM 87701-4532
- **Mailing address phone:** (505) 425-2687
- **Mailing address fax:** (505) 454-7198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NM | Yes |

## Other

- **Enumeration date:** 07/26/2012
- **Last updated:** 07/26/2012