person
Mr. Jerrald Tom James, LADAC,LMSW
Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico
NPI 1265077275

Jerrald Tom James is an Addiction (Substance Use Disorder) Counselor based in Farmington, NM and is specialized in Addiction (Substance Use Disorder). Jerrald Tom James practices in Farmington, NM and has the professional credentials of LADAC,LMSW. The NPI Number for Jerrald Tom James is 1265077275 and holds a License No. CAD0205831 (New Mexico).

The current practice location address for Jerrald Tom James is 475 E 20Th St Ste D, Farmington, NM and can be reached out via phone at 505-327-0293 and via fax at 505-564-4925.

Location: 475 E 20Th St Ste D, Farmington, NM, 87401-2132
person
Provider Profile Details
NPI Number
1265077275
Provider Name
Jerrald Tom James
Credential
LADAC,LMSW
Provider Entity Type
Individual
Gender
Male
Address
475 E 20Th St Ste D, Farmington, NM, 87401-2132
Phone Number
505-327-0293
Fax Number
505-564-4925
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
475 E 20Th St Ste D
City
State
Zip
87401-2132
Phone Number
505-327-0293
Fax Number
505-564-4925
person
Provider Business Mailing Address Details
Address
475 E 20Th St Ste D
City
State
Zip
87401-2132
Phone Number
505-327-0293
Fax Number
505-564-4925
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAD0205831 (New Mexico)
Definition
Definition to come...
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