| NPI | 1720881972 |
|---|---|
| Other Name | EDWARD PROCOPIO ALONZO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2022-0709) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |