KENNETH M. WANYA

ALBUQUERQUE, NM
NPI1467061127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0082931)
Enumeration Date2020-07-29
Last Update Date2020-07-29
Business Address
KENNETH M. WANYA
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-2696
Mailing Address
KENNETH M. WANYA
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3179
Phone number: 505-242-2696
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