person
Mr. Luciano Calabaza, LADAC
Addiction (Substance Use Disorder) Counselor in Santo Domingo Pueblo, New Mexico
NPI 1306046487

Luciano Calabaza is an Addiction (Substance Use Disorder) Counselor based in Santo Domingo Pueblo, NM and is specialized in Addiction (Substance Use Disorder). Luciano Calabaza practices in Santo Domingo Pueblo, NM and has the professional credentials of LADAC. The NPI Number for Luciano Calabaza is 1306046487 and holds a License No. 3697 (New Mexico).

The current practice location address for Luciano Calabaza is 10 Tesuque St, Santo Domingo Pueblo, NM and can be reached out via phone at 505-465-2733 and via fax at 505-465-0433.

Location: 10 Tesuque St, Santo Domingo Pueblo, NM, 87052-9998
person
Provider Profile Details
NPI Number
1306046487
Provider Name
Luciano Calabaza
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
10 Tesuque St, Santo Domingo Pueblo, NM, 87052-9998
Phone Number
505-465-2733
Fax Number
505-465-0433
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Tesuque St
City
State
Zip
87052-9998
Phone Number
505-465-2733
Fax Number
505-465-0433
person
Provider Business Mailing Address Details
Address
10 Tesuque St
City
State
Zip
87052-9998
Phone Number
505-465-2733
Fax Number
505-465-0433
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3697 (New Mexico)
Definition
Definition to come...
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