Individual
DAVID KERR ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 PRIESTLY PL, CORRALES, NM 87048-9323
(505) 899-6278
Mailing address
39 PRIESTLY PL, CORRALES, NM 87048-9323
(505) 899-6278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0089111
NM
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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