EMERSON CHARLEY

GALLUP, NM
NPI1497116206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CSA0209321)
Enumeration Date2016-03-08
Last Update Date2023-11-01
Business Address
EMERSON CHARLEY LSAA
2105 HASLER VALLEY RD
GALLUP, NM 87301-8730
Phone number: 505-471-4985
Mailing Address
EMERSON CHARLEY LSAA
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-4985
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