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Tracy Shaw, LADAC
Addiction (Substance Use Disorder) Counselor in Rio Rancho, New Mexico
NPI 1629514633

Tracy Shaw is an Addiction (Substance Use Disorder) Counselor based in Rio Rancho, NM and is specialized in Addiction (Substance Use Disorder). Tracy Shaw practices in Rio Rancho, NM and has the professional credentials of LADAC. The NPI Number for Tracy Shaw is 1629514633 and holds a License No. 0141901 (New Mexico).

The current practice location address for Tracy Shaw is 4100 Barbara Loop Se, Rio Rancho, NM and can be reached out via phone at 505-702-8547.

Location: 4100 Barbara Loop Se, Rio Rancho, NM, 87124-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629514633
Provider Name
Tracy Shaw
Credential
LADAC
Provider Entity Type
Individual
Gender
Female
Address
4100 Barbara Loop Se, Rio Rancho, NM, 87124-1000
Phone Number
505-702-8547
Fax Number
Provider Enumeration Date
01/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4100 Barbara Loop Se
City
Rio Rancho
State
New Mexico
Zip
87124-1000
Phone Number
505-702-8547
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Barbara Loop Se
City
Rio Rancho
State
New Mexico
Zip
87124-1000
Phone Number
505-702-8547
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.
0141901 (New Mexico)
Definition
Definition to come...
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