Individual
MR. DON ISAAC BEAUCAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC #3502
Contact information
Practice address
9900 STOUGHTON PLACE NW, ALBUQUERQUE, NM 87193
(505) 898-2601
Mailing address
P.O. BOX 67349, ALBUQUERQUE, NM 87193
(505) 898-2601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3502
NM
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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