Individual
MR. DELBERT JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
HWY 491 NORTH PINION STREET, SHIPROCK, NM 87420
(505) 368-1429
Mailing address
PO BOX 1830, SHIPROCK, NM 87420-1830
(505) 368-1429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4047
NM
Other
Enumeration date
05/22/2007
Last updated
07/12/2019
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