person
David Dominguez-maez, LSAA
Addiction (Substance Use Disorder) Counselor in Espanola, New Mexico
NPI 1366944308

David Dominguez-maez is an Addiction (Substance Use Disorder) Counselor based in Espanola, NM and is specialized in Addiction (Substance Use Disorder). David Dominguez-maez practices in Espanola, NM and has the professional credentials of LSAA. The NPI Number for David Dominguez-maez is 1366944308 and holds a License No. 0180121 (New Mexico).

The current practice location address for David Dominguez-maez is 1227 N Railroad Ave, Espanola, NM and can be reached out via phone at 505-747-8187 and via fax at 505-747-8306.

Location: 1227 N Railroad Ave, Espanola, NM, 87532-3147
person
Provider Profile Details
NPI Number
1366944308
Provider Name
David Dominguez-maez
Credential
LSAA
Provider Entity Type
Individual
Gender
Male
Address
1227 N Railroad Ave, Espanola, NM, 87532-3147
Phone Number
505-747-8187
Fax Number
505-747-8306
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265683049 05 NM
institution
Provider Business Practice Location Address Details
Address
1227 N Railroad Ave
City
State
Zip
87532-3147
Phone Number
505-747-8187
Fax Number
505-747-8306
person
Provider Business Mailing Address Details
Address
1227 N Railroad Ave
City
State
Zip
87532-3147
Phone Number
505-747-8187
Fax Number
505-747-8306
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0180121 (New Mexico)
Definition
Definition to come...
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