Individual
AMBROSE BAROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADAC
Contact information
Practice address
4210 MEADOWLARK LN SE, RIO RANCHO, NM 87124-1021
(505) 927-1024
(505) 988-7328
Mailing address
3936 MOUNTAIN TRAIL LOOP NE, RIO RANCHO, NM 87144-7001
(505) 927-1024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0189011
NM
1041C0700X
Clinical Social Worker
Primary
C-10327
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/19/2010
Last updated
07/15/2023
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