Zane Romancito, LADAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Zuni, NM
NPI 1275867772 · NPPES record last updated Jul 11, 2011
Key facts
- NPI
- 1275867772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 005837 (NM)
- Practice address
- 99 D Ave
Black Rock
Zuni, NM 87327 - Phone
- (505) 782-4710
- Fax
- (505) 782-5880
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005837 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 005837 | NM | Yes |
Addresses
Primary practice location
99 D Ave
Black Rock
Zuni, NM 87327
Mailing address
PO Box 339
C/O Zuni Recovery Center
Zuni, NM 87327-0339
Phone (505) 782-4710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28905512 | Medicaid | NM |
Other providers in Zuni, NM
- Red Rocks Dialysis LLC
- Thomas C Riordan
- Nixon Roberts
- Francois Gaspard Rollin
- Mark Joseph Romancito
- Conrad Sanders
- Adrian Kyle Sandoval-Skeet
- Ervina Bowannie Sandoval
- Michael Sbarge
- Jaimie Paulene Schwendner
All providers in Zuni, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.