Individual
DAVID VAN AUSDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 EUBANK BLVD NE STE D, ALBUQUERQUE, NM 87112-5375
(505) 587-4770
Mailing address
1000 EUBANK BLVD NE STE D, ALBUQUERQUE, NM 87112-5375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0223681
NM
104100000X
Social Worker
Primary
SWB-2024-0962
NM
Other
Enumeration date
04/29/2022
Last updated
07/04/2026
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