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Mr. Micjhael Patrick O'malley, LADAC
Addiction (Substance Use Disorder) Counselor in Las Cruces, New Mexico
NPI 1710205596

Micjhael Patrick O'malley is an Addiction (Substance Use Disorder) Counselor based in Radium Springs, NM and is specialized in Addiction (Substance Use Disorder). Micjhael Patrick O'malley practices in Las Cruces, NM and has the professional credentials of LADAC. The NPI Number for Micjhael Patrick O'malley is 1710205596 and holds a License No. LADAC3619 (New Mexico).

The current practice location address for Micjhael Patrick O'malley is 715 E Idaho Ave, Las Cruces, NM and can be reached out via phone at 575-524-2505 and via fax at 575-524-2504.

Location: 715 E Idaho Ave, Las Cruces, NM, 88054-0373
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Provider Profile Details
NPI Number
1710205596
Provider Name
Micjhael Patrick O'malley
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
715 E Idaho Ave, Las Cruces, NM, 88054-0373
Phone Number
575-524-2505
Fax Number
575-524-2504
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LADAC3619 01 NM LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
715 E Idaho Ave
City
State
Zip
88001-4703
Phone Number
575-524-2505
Fax Number
575-524-2504
person
Provider Business Mailing Address Details
Address
715 E Idaho Ave
City
State
Zip
88001-4703
Phone Number
575-524-2505
Fax Number
575-524-2504
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LADAC3619 (New Mexico)
Definition
Definition to come...
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