Individual
ADAM JACOB BRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
3301 SOUTHERN BLVD SE STE 105, RIO RANCHO, NM 87124-5859
(505) 270-0840
Mailing address
2672 CAMINO PLATA LOOP NE, RIO RANCHO, NM 87144-5826
(505) 364-6908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0401
NM
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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