person
Donald Poole II, LSAA
Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico
NPI 1962136176

Donald Poole II is an Addiction (Substance Use Disorder) Counselor based in Farmington, NM and is specialized in Addiction (Substance Use Disorder). Donald Poole II practices in Farmington, NM and has the professional credentials of LSAA. The NPI Number for Donald Poole II is 1962136176 and holds a License No. CTB-2022-0241 (New Mexico).

The current practice location address for Donald Poole II is 653 W Arrington St, Farmington, NM and can be reached out via phone at 505-564-3733.

Location: 653 W Arrington St, Farmington, NM, 87401-8513
person
Provider Profile Details
NPI Number
1962136176
Provider Name
Donald Poole II
Credential
LSAA
Provider Entity Type
Individual
Gender
Male
Address
653 W Arrington St, Farmington, NM, 87401-8513
Phone Number
505-564-3733
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CTB20220241 01 NM COUNSELING AND THERAPY PRACTICE BOARD
institution
Provider Business Practice Location Address Details
Address
653 W Arrington St
City
State
Zip
87401-8513
Phone Number
505-564-3733
Fax Number
person
Provider Business Mailing Address Details
Address
653 W Arrington St
City
State
Zip
87401-8513
Phone Number
505-564-3733
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CTB-2022-0241 (New Mexico)
Definition
Definition to come...
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