Mr. Ben Graywolf
Mr. Ben Graywolf is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2006
Practice location Address checks out
1217 1st St NWAlbuquerque, NM 87102-1529
Phone: (505) 344-6738
Fax: (505) 344-1862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence OO79341 (NM) |
|---|
Record details
| NPI number | 1760563001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1111 Cardenas Dr Se, Apt # 316, Albuquerque, NM 87108-4736 |
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