Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athena Marie Gassoumis, MDIV, LADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649569575

Athena Marie Gassoumis, MDIV, LADAC is an Addiction (Substance Use Disorder) Counselor in Socorro, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2011

Practice location Address checks out

119 Court St Pob 876
Socorro, NM 87801-4505
Phone: (575) 835-2389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0087871 (NM)

Record details

NPI number1649569575
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV , LADAC
Sole proprietorYes
NPI enumeratedMarch 31, 2011
Last updated in NPPESMarch 31, 2011

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