| Peter Paul Pecos, LADC | |
|
110 Sheep Springs Way, Jemez Pueblo, NM 87024 | |
| (505) 834-7258 | |
| (505) 834-9501 |
| Full Name | Peter Paul Pecos |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 110 Sheep Springs Way, Jemez Pueblo, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669662979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0105861 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Paul Pecos, LADC 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Ph: (505) 834-7258 | Peter Paul Pecos, LADC 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Ph: (505) 834-7258 |
Ona Trujillo, LSAA Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-3140 | |
Frank Fidel Fragua, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs, Jemez Pueblo, NM 87024 Phone: 505-834-3139 Fax: 505-834-9507 | |
Ms. Elba Velez True, LPCC LADAC Counselor Medicare: Medicare Enrolled Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 505-834-7258 Fax: 505-834-9507 | |
Ms. Lisa C Maves, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs, Jemez Pueblo, NM 87024 Phone: 505-834-3059 Fax: 505-834-7093 | |
Carol Ann Vigil, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 Phone: 575-834-3143 | |
Helen Hallas Fredlund, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-7258 |