person
Zachary Gene Petro, LSAA
Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico
NPI 1417685652

Zachary Gene Petro is an Addiction (Substance Use Disorder) Counselor based in Albuquerque, NM and is specialized in Addiction (Substance Use Disorder). Zachary Gene Petro practices in Albuquerque, NM and has the professional credentials of LSAA. The NPI Number for Zachary Gene Petro is 1417685652 and holds a License No. CTB-2022-0086 (New Mexico).

The current practice location address for Zachary Gene Petro is 630 Haines Ave Nw, Albuquerque, NM and can be reached out via phone at 505-268-5611 and via fax at 505-268-5736.

Location: 630 Haines Ave Nw, Albuquerque, NM, 87102-1226
person
Provider Profile Details
NPI Number
1417685652
Provider Name
Zachary Gene Petro
Credential
LSAA
Provider Entity Type
Individual
Gender
Male
Address
630 Haines Ave Nw, Albuquerque, NM, 87102-1226
Phone Number
505-268-5611
Fax Number
505-268-5736
Provider Enumeration Date
08/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
630 Haines Ave Nw
City
State
Zip
87102-1226
Phone Number
505-268-5611
Fax Number
505-268-5736
person
Provider Business Mailing Address Details
Address
630 Haines Ave Nw
City
State
Zip
87102-1226
Phone Number
505-268-5611
Fax Number
505-268-5736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CTB-2022-0086 (New Mexico)
Definition
Definition to come...
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