ROY WHITEEAGLE

ALBUQUERQUE, NM
NPI1376962225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  05998)
Enumeration Date2014-04-08
Last Update Date2014-04-08
Business Address
Mr. ROY WHITEEAGLE L.A.D.A.C.
4300 SILVER AVE SE SUITE F
ALBUQUERQUE, NM 87108-2748
Phone number: 505-255-1804
Mailing Address
Mr. ROY WHITEEAGLE L.A.D.A.C.
4300 SILVER AVE SE SUITE F
ALBUQUERQUE, NM 87108-2748
Phone number: 505-255-1804
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