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Mrs. Louise L Mariano, LADAC
Addiction (Substance Use Disorder) Counselor in Gallup, New Mexico
NPI 1316370505

Louise L Mariano is an Addiction (Substance Use Disorder) Counselor based in Gallup, NM and is specialized in Addiction (Substance Use Disorder). Louise L Mariano practices in Gallup, NM and has the professional credentials of LADAC. The NPI Number for Louise L Mariano is 1316370505 and holds a License No. (New Mexico).

The current practice location address for Louise L Mariano is 300 W Nizhoni Blvd Ste A, Gallup, NM and can be reached out via phone at 505-722-9470.

Location: 300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316370505
Provider Name
Louise L Mariano
Credential
LADAC
Provider Entity Type
Individual
Gender
Female
Address
300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
Phone Number
505-722-9470
Fax Number
Provider Enumeration Date
08/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 W Nizhoni Blvd Ste A
City
Gallup
State
New Mexico
Zip
87301-5766
Phone Number
505-722-9470
Fax Number
person
Provider Business Mailing Address Details
Address
300 W Nizhoni Blvd Ste A
City
Gallup
State
New Mexico
Zip
87301-5766
Phone Number
505-722-9470
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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