DELBERT JOHN

SHIPROCK, NM
NPI1972713899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  4047)
Enumeration Date2007-05-22
Last Update Date2019-07-12
Business Address
Mr. DELBERT JOHN LADAC
HWY 491 NORTH PINION STREET
SHIPROCK, NM 87420
Phone number: 505-368-1429
Mailing Address
Mr. DELBERT JOHN LADAC
PO BOX 1830
SHIPROCK, NM 87420-1830
Phone number: 505-368-1429