person
Ms. Suzannah Miriam Gould, LADAC
Addiction (Substance Use Disorder) Counselor in Shiprock, New Mexico
NPI 1972769875

Suzannah Miriam Gould is an Addiction (Substance Use Disorder) Counselor based in Shiprock, NM and is specialized in Addiction (Substance Use Disorder). Suzannah Miriam Gould practices in Shiprock, NM and has the professional credentials of LADAC. The NPI Number for Suzannah Miriam Gould is 1972769875 and holds a License No. 4441 (New Mexico).

The current practice location address for Suzannah Miriam Gould is Hwy 491 North Pinion Street, Shiprock, NM and can be reached out via phone at 505-368-1050 and via fax at 505-368-1437. You can also correspond with Suzannah Miriam Gould through the mailing address at PO BOX 1830, SHIPROCK, NM - 87420-1830 (mailing address contact number: 505-368-1050).

Location: Hwy 491 North Pinion Street, Shiprock, NM, 87420-1830
person
Provider Profile Details
NPI Number
1972769875
Provider Name
Suzannah Miriam Gould
Credential
LADAC
Provider Entity Type
Individual
Gender
Female
Address
Hwy 491 North Pinion Street, Shiprock, NM, 87420-1830
Phone Number
505-368-1050
Fax Number
505-368-1437
Provider Enumeration Date
07/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hwy 491 North Pinion Street
City
State
Zip
87420
Phone Number
505-368-1050
Fax Number
505-368-1437
person
Provider Business Mailing Address Details
Address
Hwy 491 North Pinion Street
City
State
Zip
87420
Phone Number
505-368-1050
Fax Number
505-368-1437
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4441 (New Mexico)
Definition
Definition to come...
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