Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ATHENA MARIE GASSOUMIS, M.DIV., LADAC
Active Sole ProprietorATHENA MARIE GASSOUMIS, M.DIV., LADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SOCORRO, New Mexico. NPI 1649569575 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SOCORRO, NM
Registration Details
- NPI Number
- 1649569575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2011 (15.420061329978 yrs)
- Last Updated
- Mar 31, 2011
- License
-
0087871 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 COURT STPOB 876SOCORRO, NM, 878014505Browse NM providers · Browse ZIP 87801
- Phone
- 5758352389
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SOCORRO, NM
| Name | Credential | NPI |
|---|---|---|
| JOSEFINA PEREZ | LSAA | 1356236129 |
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.