Roy Salcido, LADAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Crownpoint, NM
NPI 1558570788 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1558570788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4363 (NM)
- Practice address
- Southwest Highland Drive
Crownpoint, NM 87313-1144 - Phone
- (505) 786-2252
- Fax
- (505) 786-2020
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 4363 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Nation Crownpoint Outpatient Treatment Center | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4363 | NM | Yes |
Addresses
Primary practice location
Southwest Highland Drive
Crownpoint, NM 87313-1144
Mailing address
Southwest Highland Drive
Crownpoint, NM 87313-1144
Phone (505) 786-2252
Other providers in Crownpoint, NM
- Michelle Lucy Perales
- Angelena P Perry
- Alexandra Podosek
- Pueblo Pintado Health Center
- Red Rocks Dialysis LLC
- Carla J Sand
- Cody Schneider
- Ragheb Senan
- Mavis Smith
- Sophie Soo
All providers in Crownpoint, 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 8, 2007. 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.