William Anthony Burrola, CPSW Valid NPI
Individual provider · Peer Specialist · Gallup, NM
- NPI
- 1326639378
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- License number
- 890 (NM)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-02-02
- Last updated
- 2021-02-02
Practice location
2105 Hassler Valley Rd
Gallup, NM 87301
(505) 413-3447