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Contact Information

ROBERT K WAATSA, L.P.C.C., L.A.D.A.C.
20 RT 301 NORTH
ZUNI, NM87327
 Phone: 505-782-5719
 Fax: 505-782-5735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ROBERT K WAATSA · (Male)

NPI Number 1003154170
Status Active
Credentials L.P.C.C., L.A.D.A.C.
Entity Individual
Enumeration date 01/24/2013
Last updated 02/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 0156201
  • NM License # 0159721
  • NM License # CCMH0208201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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