Individual
PHILIP GERARD PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-3425
(505) 242-6988
(505) 242-6972
Mailing address
218 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-3425
(505) 242-6988
(505) 242-6972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0086761
NM
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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