Organization
JUNTOS PODEMOS INC II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL GONZALES SUBSTANCE ABUSE ASSI (COUNSELOR)
(505) 234-9614
Entity
Organization
Contact information
Practice address
2715 4TH ST NW, ALBUQUERQUE, NM 87107-1329
(505) 242-4533
(505) 242-4240
Mailing address
5836 IRVING BLVD NW, ALBUQUERQUE, NM 87114-4839
(505) 234-9614
(505) 242-4240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3659
NM
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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