TIMOTHY G. ALLEN

ALBUQUERQUE, NM
NPI1639419716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0143421)
Enumeration Date2013-02-26
Last Update Date2013-02-26
Business Address
-- TIMOTHY G. ALLEN LADAC
5901 ZUNI RD SE
ALBUQUERQUE, NM 87108-3073
Phone number: 505-841-8978
Mailing Address
-- TIMOTHY G. ALLEN LADAC
5901 ZUNI RD SE
ALBUQUERQUE, NM 87108-3073
Phone number: 505-841-8978