TREVOR G GATES-CRANDALL

KIRTLAND AFB, NM
NPI1316982705
Professional NameTREVOR G GATES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09927211)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  27722)
1041C0700X Social Worker, Clinical
(Licence: NY  73080344)
Enumeration Date2006-06-18
Last Update Date2024-10-15
Business Address
Dr. TREVOR G GATES-CRANDALL
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-2300
Phone number: 817-825-7662
Mailing Address
Dr. TREVOR G GATES-CRANDALL
1200 GRETTA ST NE
ALBUQUERQUE, NM 87112-5556
Phone number: