person
Frank Fidel Fragua, LADAC
Addiction (Substance Use Disorder) Counselor in Jemez Pueblo, New Mexico
NPI 1225188055

Frank Fidel Fragua is an Addiction (Substance Use Disorder) Counselor based in Jemez Pueblo, NM and is specialized in Addiction (Substance Use Disorder). Frank Fidel Fragua practices in Jemez Pueblo, NM and has the professional credentials of LADAC. The NPI Number for Frank Fidel Fragua is 1225188055 and holds a License No. 3781 (New Mexico).

The current practice location address for Frank Fidel Fragua is 110 Sheep Springs, Jemez Pueblo, NM and can be reached out via phone at 505-834-3139 and via fax at 505-834-9507.

Location: 110 Sheep Springs, Jemez Pueblo, NM, 87024
person
Provider Profile Details
NPI Number
1225188055
Provider Name
Frank Fidel Fragua
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
110 Sheep Springs, Jemez Pueblo, NM, 87024
Phone Number
505-834-3139
Fax Number
505-834-9507
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 Sheep Springs
City
State
Zip
87024
Phone Number
505-834-3139
Fax Number
505-834-9507
person
Provider Business Mailing Address Details
Address
110 Sheep Springs
City
State
Zip
87024
Phone Number
505-834-3139
Fax Number
505-834-9507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3781 (New Mexico)
Definition
Definition to come...
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