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

Zachary Gene Petro, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417685652

Zachary Gene Petro, LSAA is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.

Licensed in
NM
In the registry since
2022

Practice location Address checks out

630 Haines Ave NW
Albuquerque, NM 87102-1226
Phone: (505) 268-5611
Fax: (505) 268-5736
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-2022-0086 (NM)

Record details

NPI number1417685652
Entity typeIndividual (Type 1)
GenderMale
Credentials LSAA
Sole proprietorNo
NPI enumeratedAugust 14, 2022
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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