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Individual

WILLIAM WALTER GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADAC

Contact information

Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Mailing address
223 N GUADALUPE ST STE 822, SANTA FE, NM 87501-1868
(405) 435-0731

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0377
NM

Other

Enumeration date
02/14/2023
Last updated
06/10/2025
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