CHARLES ALEXANDER HUYCK

GALLUP, NM
NPI1487864039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801-070632)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  1-01485)
1041C0700X Social Worker, Clinical
(Licence: IA  06511)
104100000X Social Worker
(Licence: MI  6801070632)
Enumeration Date2007-05-23
Last Update Date2015-04-23
Business Address
-- CHARLES ALEXANDER HUYCK LMSW
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- CHARLES ALEXANDER HUYCK LMSW
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000