Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LUCIANO CALABAZA, LADAC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · SANTO DOMINGO PUEBLO, NM
Registration Details
- NPI Number
- 1306046487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2007 (18.759668854589 yrs)
- Last Updated
- Jul 18, 2007
- License
-
3697 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 TESUQUE STSANTO DOMINGO PUEBLO, NM, 870529998Browse NM providers · Browse ZIP 87052
- Phone
- 5054652733
- Fax
- 5054650433
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.