Individual
MATTHEW PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 GOLD AVE SW, ALBUQUERQUE, NM 87102-3283
(505) 255-5835
Mailing address
400 GOLD AVE SW, ALBUQUERQUE, NM 87102-3283
(505) 255-5835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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