Individual
JASON FOLEY GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
630 HAINES AVE NW, ALBUQUERQUE, NM 87102-1226
(505) 268-5611
Mailing address
21 RANCH RD, CEDAR CREST, NM 87008-9712
(505) 681-0499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0411
NM
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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