Athena Marie Gassoumis, M.DIV., LADAC
NPI #1649569575 in Socorro, New Mexico
Provider Information
- NPI Number
- 1649569575
- Entity Type
- Individual
- Name
- Athena Marie Gassoumis, M.DIV., LADAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- M.DIV., LADAC
- Enumeration Date
- Mar 31, 2011
- Last Updated
- Mar 31, 2011
Practice Location
- Address
- 119 COURT ST
- Address 2
- POB 876
- City
- Socorro
- State
- New Mexico
- ZIP Code
- 87801-4505
- Phone
- (575) 835-2389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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