MR. MARK SANCHEZ LADAC,LCDC,ICADC,CAC - NPI 1083735997

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Mr. Mark Sanchez Ladac,lcdc,icadc,cac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK SANCHEZ LADAC,LCDC,ICADC,CAC (NPI 1083735997) is an individual addiction (substance use disorder) provider in Farmington, New Mexico, licensed in New Mexico (0084741) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1083735997

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. MARK SANCHEZCredential: LADAC,LCDC,ICADC,CAC

Location Address1001 W BROADWAY STE DFarmington, NM 87401-5638

Mailing AddressPo Box 2707Shiprock, NM 87420-2707 · (505) 368-4825

Phone(505) 325-0238

Fax(505) 327-7247

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083735997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NM · 0084741

1001 W BROADWAY STE D, Farmington, NM 87401

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIRGINIA LEE BURGESS LISW

Social Worker (Clinical)

1001 W BROADWAY STE D, BEHAVIORAL HEALTH DEPT.
FARMINGTON, NM 87401

San Juan County (505) 566-0317

MRS. JULIE DAWN SWANSON MA LPCC

Counselor (Mental Health)

1001 W BROADWAY STE D, 2700 F1 FARMINGTON AVE.
FARMINGTON, NM 87401

San Juan County (505) 566-0353

MRS. SUSAN ELLEN RAGO PA-C

Physician Assistant (Medical)