David Allen Natseway, LSAA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Laguna, NM

NPI 1831733070 · NPPES record last updated Oct 31, 2019

Key facts

NPI
1831733070
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CSA0184761 (NM)
Practice address
7 Rio San Jose
Laguna, NM 87026
Phone
(505) 552-5728
NPI assigned
Oct 31, 2019
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

LicenseStateTypeSpecialty
CSA0184761NMMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CSA0184761 NM Yes

Addresses

Primary practice location

7 Rio San Jose
Laguna, NM 87026

Mailing address

7 Rio San Jose
Laguna, NM 87026
Phone (505) 552-5728

Other identifiers

IdentifierTypeStateIssuer
511708737OtherNMNM DRIVERS LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dnatseway@pol-nsn.gov Direct

Other providers in Laguna, NM

All providers in Laguna, NM · Addiction (Substance Use Disorder) Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.