| Mr George Moore, LADAC | |
|
101 D Avenue, Zuni, NM 87327 | |
| (505) 782-4710 | |
| (505) 782-5880 |
| Full Name | Mr George Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 101 D Avenue, Zuni, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558503847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0110951 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr George Moore, LADAC Po Box 339, Zuni, NM 87327-0339 Ph: (505) 782-4710 | Mr George Moore, LADAC 101 D Avenue, Zuni, NM 87327 Ph: (505) 782-4710 |
Mr. Robert K. Waatsa, L.P.C.C., L.A.D.A.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Rt 301 North, Zuni, NM 87327 Phone: 505-782-5719 Fax: 505-782-5735 | |
Ms. Lynette Martinez, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 D Avenue, Zuni, NM 87327 Phone: 505-782-4710 Fax: 505-782-5880 | |
Zane Romancito, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 D Ave, Black Rock, Zuni, NM 87327 Phone: 505-782-4710 Fax: 505-782-5880 | |
Cody Gene Stevenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Sandy Spring Rd, Zuni, NM 87327 Phone: 505-782-5511 | |
Mark Martinez, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 'd' Avenue, Black Rock, Zuni, NM 87327 Phone: 505-782-4710 Fax: 505-782-5880 | |
Olivia Eriacho, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 D Avenue, Zuni, NM 87327 Phone: 505-782-4710 Fax: 505-782-5880 |