IndividualActive
Angel Gordo, LSAA
NPI 1861033409 · Addiction (Substance Use Disorder) Counselor · Roswell, NM
Provider details
- NPI number
- 1861033409
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSAA
- Sex
- Female
- Sole proprietor
- No
- License
- CSA0206891 (NM)
Mailing address
3013 La Jolla Ln
Roswell, NM 88201-5218
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2019-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.