Individual
DAVID WILLIAM MAESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
2520 VIRGINIA ST NE, STE 200, ALBUQUERQUE, NM 87110-4689
(505) 296-4449
(505) 296-0497
Mailing address
713 MCKNIGHT AVE NW, ALBUQUERQUE, NM 87102-1238
(505) 304-7420
(505) 200-0061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1028971
NM
Other
Enumeration date
08/04/2012
Last updated
08/04/2012
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