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

Edward Procopio Alonzo, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720881972

Edward Procopio Alonzo, LSAA is an Addiction (Substance Use Disorder) Counselor in Gallup, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2025

Practice location Address checks out

2028 E Aztec Ave
Gallup, NM 87301-4804
Phone: (505) 413-3447
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 CTB-2022-0709 (NM)

Record details

NPI number1720881972
Entity typeIndividual (Type 1)
GenderMale
Credentials LSAA
Sole proprietorYes
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address2028 E Aztec Ave, Gallup, NM 87301-4804

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