JAMES HERMAN WIDNER JR. LADAC, CADAC
NPI 1821353616
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM
Active since July 09, 2012
About James Herman Widner Jr. Ladac, Cadac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES HERMAN WIDNER JR. LADAC, CADAC (NPI 1821353616) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (0133671) and active in the NPI registry since July 2012.
NPPES Registry Identity
NPI1821353616
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAMES HERMAN WIDNER JR.Credential: LADAC, CADAC
Location Address912 1ST ST NWAlbuquerque, NM 87102-2355
Mailing Address912 1st St NwAlbuquerque, NM 87102-2355 · (505) 224-9777 · Fax (505) 224-9779
Phone(505) 224-9777
Fax(505) 224-9779
Sole ProprietorNo
Enumeration DateJuly 9, 2012
✔ NPI 1821353616 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 · 0133671
912 1ST ST NW, Albuquerque, NM 87102
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821353616, enumerated as an "individual" on July 09, 2012.
The provider is located at 912 1ST ST NW ALBUQUERQUE, NM 87102 and the phone number is (505) 224-9777.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).