Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER PAUL PECOS, LADC
ActivePETER PAUL PECOS, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in JEMEZ PUEBLO, New Mexico. NPI 1669662979 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · JEMEZ PUEBLO, NM
Registration Details
- NPI Number
- 1669662979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2007 (18.993547779957 yrs)
- Last Updated
- Sep 28, 2012
- License
-
0105861 (NM)
Practice Information
- Address
-
110 SHEEP SPRINGS WAYJEMEZ PUEBLO, NM, 87024Browse NM providers · Browse ZIP 87024
- Phone
- 5058347258
- Fax
- 5058349501
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in JEMEZ PUEBLO, NM
| Name | Credential | NPI |
|---|---|---|
| FRANK FIDEL FRAGUA | LADAC | 1225188055 |
| CAROL Y GACHUPIN | LDAC | 1811048820 |
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.