Individual
ORLANDO J PIOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
US HWY 491 N, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4049
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88801349
—
NM
Enumeration date
05/08/2006
Last updated
12/26/2007
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