Individual
SINA GHAFFARIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 308-8296
Mailing address
203 CALIFORNIA ST NE, ALBUQUERQUE, NM 87108-1802
(505) 308-8296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0219391
NM
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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