Peter Paul Pecos in Jemez Pueblo - Addiction (substance Use Disorder)
Peter Paul Pecos - NPI 1669662979
Peter Paul Pecos is a Addiction (substance Use Disorder) in Jemez Pueblo, New Mexico. Peter Paul Pecos practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Peter Paul Pecos is 1669662979. The last update date is 2012-09-28.
Peter Paul Pecos's current location address is 110 Sheep Springs Way, Jemez Pueblo, New Mexico. You can contact this provider via phone number 5058347258 and fax number 5058349501. The mailing address for Peter Paul Pecos is 110 Sheep Springs Way, Jemez Pueblo, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Paul Pecos |
|---|---|
| Address | 110 Sheep Springs Way, Jemez Pueblo, New Mexico |
| Phone Number | 5058347258 |
| Fax Number | 5058349501 |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1669662979 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2012-09-28 |
Provider Mailing Address Detail
| Address | 110 Sheep Springs Way |
|---|---|
| City | Jemez Pueblo |
| State | New Mexico (NM) |
| Post Code | 87024 |
| Phone Number | 5058347258 |
| Fax Number | 5058349501 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 105861 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Peter Paul Pecos by the Centers for Medicare & Medicaid Services (CMS)?
The Peter Paul Pecos has been assigned the NPI (National Provider Identifier) 1669662979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Peter Paul Pecos is physically located?
The Peter Paul Pecos is physically situated at the following address: 110 Sheep Springs Way, Jemez Pueblo, NM, 87024.
What is Peter Paul Pecos's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peter Paul Pecos's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Peter Paul Pecos receive its 1669662979 assignment from the Centers for Medicare & Medicaid Services?
The Peter Paul Pecos was assigned its 1669662979 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the information pertaining to Peter Paul Pecos most recently updated or revised?
The details related to Peter Paul Pecos, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-28.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC