person
Philip Gerard Pacheco
Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico
NPI 1821246539

Philip Gerard Pacheco is an Addiction (Substance Use Disorder) Counselor based in Albuquerque, NM and is specialized in Addiction (Substance Use Disorder). Philip Gerard Pacheco practices in Albuquerque, NM. The NPI Number for Philip Gerard Pacheco is 1821246539 and holds a License No. 0086761 (New Mexico).

The current practice location address for Philip Gerard Pacheco is 218 Broadway Blvd Se, Albuquerque, NM and can be reached out via phone at 505-242-6988 and via fax at 505-242-6972. You can also correspond with Philip Gerard Pacheco through the mailing address at 218 BROADWAY BLVD SE, ALBUQUERQUE, NM - 87102-3425 (mailing address contact number: 505-242-6988).

Location: 218 Broadway Blvd Se, Albuquerque, NM, 87102-3425
person
Provider Profile Details
NPI Number
1821246539
Provider Name
Philip Gerard Pacheco
Credential
Provider Entity Type
Individual
Gender
Male
Address
218 Broadway Blvd Se, Albuquerque, NM, 87102-3425
Phone Number
505-242-6988
Fax Number
505-242-6972
Provider Enumeration Date
09/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
218 Broadway Blvd Se
City
State
Zip
87102-3425
Phone Number
505-242-6988
Fax Number
505-242-6972
person
Provider Business Mailing Address Details
Address
218 Broadway Blvd Se
City
State
Zip
87102-3425
Phone Number
505-242-6988
Fax Number
505-242-6972
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0086761 (New Mexico)
Definition
Definition to come...
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