Individual
DAVID SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
220 4TH AVE, RATON, NM 87740-2643
(575) 445-4072
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 384-7352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4000
NM
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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