Individual
JAMES ALAN VANDERLAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
1311 N GRANT ST STE A, SILVER CITY, NM 88061-5134
(575) 388-1447
Mailing address
1311 N GRANT ST STE A, SILVER CITY, NM 88061-5134
(575) 388-1447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0071
NM
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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