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Individual

ZACHARY GENE PETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSAA

Contact information

Practice address
630 HAINES AVE NW, ALBUQUERQUE, NM 87102-1226
(505) 268-5611
(505) 268-5736
Mailing address
630 HAINES AVE NW, ALBUQUERQUE, NM 87102-1226
(505) 268-5611
(505) 268-5736

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2022-0086
NM

Other

Enumeration date
08/14/2022
Last updated
02/02/2023
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