person
Mr. Lorenzo R Jim, LADAC
Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico
NPI 1710210513

Lorenzo R Jim is an Addiction (Substance Use Disorder) Counselor based in Albuquerque, NM and is specialized in Addiction (Substance Use Disorder). Lorenzo R Jim practices in Albuquerque, NM and has the professional credentials of LADAC. The NPI Number for Lorenzo R Jim is 1710210513 and holds a License No. 0125371 (New Mexico).

The current practice location address for Lorenzo R Jim is 5608 Zuni Rd Se, Albuquerque, NM and can be reached out via phone at 505-262-2481 and via fax at 505-265-7045. You can also correspond with Lorenzo R Jim through the mailing address at 5608 ZUNI RD SE, ALBUQUERQUE, NM - 87108-2926 (mailing address contact number: 505-262-2481).

Location: 5608 Zuni Rd Se, Albuquerque, NM, 87108-2926
person
Provider Profile Details
NPI Number
1710210513
Provider Name
Lorenzo R Jim
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
5608 Zuni Rd Se, Albuquerque, NM, 87108-2926
Phone Number
505-262-2481
Fax Number
505-265-7045
Provider Enumeration Date
09/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0125371 01 NM STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5608 Zuni Rd Se
City
State
Zip
87108-2926
Phone Number
505-262-2481
Fax Number
505-265-7045
person
Provider Business Mailing Address Details
Address
5608 Zuni Rd Se
City
State
Zip
87108-2926
Phone Number
505-262-2481
Fax Number
505-265-7045
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0125371 (New Mexico)
Definition
Definition to come...
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