IndividualActive
Athena Gassoumis, M.DIV., LADAC
NPI 1649569575 · Addiction (Substance Use Disorder) Counselor · Socorro, NM
Provider details
- NPI number
- 1649569575
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- M.DIV., LADAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0087871 (NM)
Mailing address
115-119 Court Street
Socorro, NM 87801
Registry dates
- Enumerated
- 2011-03-31
- Last updated
- 2011-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.