Individual
MICHAELDAVID ANCHONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
1203 MICHIGAN AVE, ALAMOGORDO, NM 88310-6725
(575) 491-3419
Mailing address
1209 MOUNTAIN ROAD PL NE # N, ALBUQUERQUE, NM 87110-7845
(505) 601-7434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2024-0871
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
04/29/2026
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