ITZEL ALDAZ
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1821916545- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 112 S GOLD AVE, DEMING, NM, 880303704
- Phone
- (575) 494-3964
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: NM
All Addresses
MAILING
1308 S TULAROSA ST
DEMING, NM, 880304456