Dorothy A. Coriz, LADAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bernalillo, NM
NPI 1609114149 · NPPES record last updated Jan 17, 2013
Key facts
- NPI
- 1609114149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4055 (NM)
- Practice address
- 1043 Highway 313
Bernalillo, NM 87004-6912 - Phone
- (505) 867-3351
- Fax
- (505) 867-3514
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- No
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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4055 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Sandoval Indian Pueblos, Inc. | Past | Accepting new patients |
Interoperability endpoints
- dorothy.coriz.p1@direct.kp-hc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4055 | NM | Yes |
Addresses
Primary practice location
1043 Highway 313
Bernalillo, NM 87004-6912
Mailing address
1043 Highway 313
Bernalillo, NM 87004-6912
Phone (505) 867-3351
Other providers in Bernalillo, NM
- Clearwater Cooperative
- Linda Coca
- Christine Cogil
- Joanne B Collier
- Amanda Marie Collins
- Jill Elizabeth Cornell
- Juanita Correa
- County of Sandoval
- Crestview Hospice LLC
- Lesley Davidson-Boyd
All providers in Bernalillo, 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 Jan 17, 2013. 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.