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Dr. Peter Cosby Vanlent, LSAA
Addiction (Substance Use Disorder) Counselor in Chimayo, New Mexico
NPI 1710212006

Peter Cosby Vanlent is an Addiction (Substance Use Disorder) Counselor based in Chimayo, NM and is specialized in Addiction (Substance Use Disorder). Peter Cosby Vanlent practices in Chimayo, NM and has the professional credentials of LSAA. The NPI Number for Peter Cosby Vanlent is 1710212006 and holds a License No. 005938 (New Mexico).

The current practice location address for Peter Cosby Vanlent is 1 John Hyson Dr. Bld 4,5,6, Chimayo, NM and can be reached out via phone at 505-351-0900.

Location: 1 John Hyson Dr. Bld 4,5,6, Chimayo, NM, 87522-0757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710212006
Provider Name
Peter Cosby Vanlent
Credential
LSAA
Provider Entity Type
Individual
Gender
Male
Address
1 John Hyson Dr. Bld 4,5,6, Chimayo, NM, 87522-0757
Phone Number
505-351-0900
Fax Number
Provider Enumeration Date
10/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 John Hyson Dr. Bld 4,5,6
City
Chimayo
State
New Mexico
Zip
87522-0757
Phone Number
505-351-0900
Fax Number
person
Provider Business Mailing Address Details
Address
1 John Hyson Dr. Bld 4,5,6
City
Chimayo
State
New Mexico
Zip
87522-0757
Phone Number
505-351-0900
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.
005938 (New Mexico)
Definition
Definition to come...
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