person
Kenneth Thomas, LADAC
Addiction (Substance Use Disorder) Counselor in Laguna, New Mexico
NPI 1316589534

Kenneth Thomas is an Addiction (Substance Use Disorder) Counselor based in Laguna, NM and is specialized in Addiction (Substance Use Disorder). Kenneth Thomas practices in Laguna, NM and has the professional credentials of LADAC. The NPI Number for Kenneth Thomas is 1316589534 and holds a License No. 3658 (New Mexico).

The current practice location address for Kenneth Thomas is 7 Rio San Jose, Laguna, NM and can be reached out via phone at 505-401-8369.

Location: 7 Rio San Jose, Laguna, NM, 87026
person
Provider Profile Details
NPI Number
1316589534
Provider Name
Kenneth Thomas
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
7 Rio San Jose, Laguna, NM, 87026
Phone Number
505-401-8369
Fax Number
Provider Enumeration Date
10/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3658 01 NM NEW MEXICO BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
7 Rio San Jose
City
State
Zip
87026
Phone Number
505-401-8369
Fax Number
person
Provider Business Mailing Address Details
Address
7 Rio San Jose
City
State
Zip
87026
Phone Number
505-401-8369
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3658 (New Mexico)
Definition
Definition to come...
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