person
Ricardo P Spencer, LADAC
Addiction (Substance Use Disorder) Counselor in Gallup, New Mexico
NPI 1437280419

Ricardo P Spencer is an Addiction (Substance Use Disorder) Counselor based in Gallup, NM and is specialized in Addiction (Substance Use Disorder). Ricardo P Spencer practices in Gallup, NM and has the professional credentials of LADAC. The NPI Number for Ricardo P Spencer is 1437280419 and holds a License No. CAD3933 (New Mexico).

The current practice location address for Ricardo P Spencer is 300 W Nizhoni Blvd Ste A, Gallup, NM and can be reached out via phone at 505-722-9470 and via fax at 505-722-9570.

Location: 300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
person
Provider Profile Details
NPI Number
1437280419
Provider Name
Ricardo P Spencer
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
Phone Number
505-722-9470
Fax Number
505-722-9570
Provider Enumeration Date
03/08/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VNM00011N1 01 NM VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
300 W Nizhoni Blvd Ste A
City
State
Zip
87301-5766
Phone Number
505-722-9470
Fax Number
505-722-9570
person
Provider Business Mailing Address Details
Address
300 W Nizhoni Blvd Ste A
City
State
Zip
87301-5766
Phone Number
505-722-9470
Fax Number
505-722-9570
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAD3933 (New Mexico)
Definition
Definition to come...
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