DAVID VAN AUSDALL

ALBUQUERQUE, NM
NPI1366187775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CSA0223681)
Enumeration Date2022-04-29
Last Update Date2022-04-29
Business Address
DAVID VAN AUSDALL
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102-2311
Phone number: 505-224-9124
Mailing Address
DAVID VAN AUSDALL
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102-2311
Phone number: 505-224-9124
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