CHAD CARL FULFORD

ALBUQUERQUE, NM
NPI1417553264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CSA0213151)
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
CHAD CARL FULFORD
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
Mailing Address
CHAD CARL FULFORD
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
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