Individual
KARTHIK ANANDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 W HISTORIC HWY 66 HOWARD JOHNSON HOTEL, GALLUP, NM 87301-8730
(505) 906-1033
Mailing address
1133 BOGGIO DR, GALLUP, NM 87301-4973
(505) 906-1033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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