Individual
JOHN MICHAEL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.U.S.
Contact information
Practice address
100 E AZTEC AVE, GALLUP, NM 87301-6256
(505) 863-3377
(505) 722-5622
Mailing address
313 STAGECOACH CIR, GALLUP, NM 87301-6792
(505) 863-3377
(505) 722-5622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0076911
NM
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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