IndividualActive
Angelica Whitaker
NPI 1407734734 · Addiction (Substance Use Disorder) Counselor · Farmington, NM
Provider details
- NPI number
- 1407734734
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sole proprietor
- Yes
- License
- CTB-2025-0602 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1009 Ridgeway Pl
Farmington, NM 87401-2092
Phone: (505) 402-6886
Approximate (ZIP-level) locationGet directions
Mailing address
1009 Ridgeway Pl
Farmington, NM 87401-2092
Additional practice locations (1)
- 1300 E 20th StFarmington, NM 87401-9022Phone: (505) 402-6886
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.