JOHN MICHAEL STEWART

GALLUP, NM
NPI1700090453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0076911)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- JOHN MICHAEL STEWART B.U.S.
100 E AZTEC AVE
GALLUP, NM 87301-6256
Phone number: 505-863-3377
Mailing Address
-- JOHN MICHAEL STEWART B.U.S.
313 STAGECOACH CIR
GALLUP, NM 87301-6792
Phone number: 505-863-3377