MRS. CASSONDA ANNE STAFFORD LADAC
NPI 1356900559
Counselor - Addiction (Substance Use Disorder) in Roswell, NM

Active since June 11, 2019
1107 S ATKINSON AVE, ROSWELL, NM 88203(575) 578-4826 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Cassonda Anne Stafford Ladac NPPES

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

MRS. CASSONDA ANNE STAFFORD LADAC (NPI 1356900559) is an individual addiction (substance use disorder) provider in Roswell, New Mexico, licensed in New Mexico (CAD0196841) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1356900559
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CASSONDA ANNE STAFFORDCredential: LADAC
Location Address1107 S ATKINSON AVERoswell, NM 88203-7154
Mailing Address1107 S Atkinson AveRoswell, NM 88203-7154 · (575) 578-4826
Sole ProprietorNo
Enumeration DateJune 11, 2019
NPI 1356900559 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 · CAD0196841
1107 S ATKINSON AVE, Roswell, NM 88203

Other Identifiers 1

Medicaid05NM

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Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Rehabilitation Counselor
1107 S ATKINSON AVE
ROSWELL, NM 88203
Substance Abuse Rehabilitation Facility
1107 S ATKINSON AVE
ROSWELL, NM 88203
Substance Abuse Rehabilitation Facility
1107 S ATKINSON AVE
ROSWELL, NM 88203
Counselor (Addiction (Substance Use Disorder))
1107 S ATKINSON AVE
ROSWELL, NM 88203
Counselor (Addiction (Substance Use Disorder))
1107 S ATKINSON AVE
ROSWELL, NM 88203
Licensed Practical Nurse
1107 S ATKINSON AVE
ROSWELL, NM 88203
Licensed Practical Nurse
1107 S ATKINSON AVE
ROSWELL, NM 88203
Counselor (Addiction (Substance Use Disorder))
1107 S ATKINSON AVE
ROSWELL, NM 88203
Licensed Practical Nurse
1107 S ATKINSON AVE
ROSWELL, NM 88203
Counselor (Addiction (Substance Use Disorder))
1107 S ATKINSON AVE
ROSWELL, NM 88203
Peer Specialist
1107 S ATKINSON AVE
ROSWELL, NM 88203
Clinic/Center (Methadone)
1107 S ATKINSON AVE
ROSWELL, NM 88203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356900559, enumerated as an "individual" on June 11, 2019.

The provider is located at 1107 S ATKINSON AVE ROSWELL, NM 88203 and the phone number is (575) 578-4826.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.