CARLOS GONZALES

SANTA FE, NM
NPI1144740903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0189851)
Enumeration Date2017-06-22
Last Update Date2017-06-22
Business Address
CARLOS GONZALES LADAC
2000 SAINT MICHAELS DR STE 5
SANTA FE, NM 87505-7630
Phone number: 505-699-3488
Mailing Address
CARLOS GONZALES LADAC
PO BOX 4144
SANTA FE, NM 87502-4144
Phone number:
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