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Individual

MR. ERICK BRIAN PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADAC

Contact information

Practice address
1207 GOLF COURSE RD SE, SUITE C, RIO RANCHO, NM 87124-1999
(505) 994-4100
(505) 994-1229
Mailing address
412 ASBURY RD NE, RIO RANCHO, NM 87124-5627
(505) 489-4935

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0164561
NM

Other

Enumeration date
08/07/2012
Last updated
06/08/2015
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