Alvera R Upshaw, LADAC
NPI #1972634962 in Gallup, New Mexico
Provider Information
- NPI Number
- 1972634962
- Entity Type
- Individual
- Name
- Alvera R Upshaw, LADAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADAC
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 650 VANDEN BOSCH PKWY
- Address 2
- # B
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5508
- Phone
- (505) 726-6900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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