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Individual

MR. DONALD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.A, LADAC

Contact information

Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
(505) 841-8977
Mailing address
PO BOX 80810, ALBUQUERQUE, NM 87198-0810
(505) 841-8978

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0102461
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102461
LADAC
NM
Enumeration date
05/30/2007
Last updated
07/08/2007
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