Individual
MR. JOHN PATRICK BALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
1601 10TH ST STE C, ALAMOGORDO, NM 88310-5046
(575) 437-2453
(575) 443-1504
Mailing address
2500 ASPEN DR, ALAMOGORDO, NM 88310-4202
(575) 437-2453
(575) 443-1504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4745
NM
Other
Enumeration date
03/02/2007
Last updated
10/09/2008
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