Individual
DAVID ALLEN NATSEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
7 RIO SAN JOSE, LAGUNA, NM 87026
(505) 552-5728
Mailing address
7 RIO SAN JOSE, LAGUNA, NM 87026
(505) 552-5728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0184761
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511708737
NM DRIVERS LICENSE
NM
Enumeration date
10/31/2019
Last updated
10/31/2019
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