Joey Vallo, CPSW
Individual provider Active NPI Counselor · Acoma, NM
NPI 1780120899 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1780120899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 45 Pinsbarri Dr
Acoma, NM 87034-0328 - Phone
- (505) 552-6661
- Fax
- (505) 552-6426
- NPI assigned
- Jan 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Acoma | Past | Accepting new patients | |
| Pueblo of Acoma | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
45 Pinsbarri Dr
Acoma, NM 87034-0328
Mailing address
PO Box 328
Acoma, NM 87034-0328
Phone (505) 552-6661
Other providers in Acoma, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. 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.