| Alfred B Benalli, | |
|
129 Medicine Horse Drive, Tohajiilee, NM 87026 | |
| (505) 908-2307 | |
| Not Available |
| Full Name | Alfred B Benalli |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 129 Medicine Horse Drive, Tohajiilee, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518268242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3854 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alfred B Benalli, Po Box 3338, Canoncito, NM 87026-3338 Ph: (505) 908-2517 | Alfred B Benalli, 129 Medicine Horse Drive, Tohajiilee, NM 87026 Ph: (505) 908-2307 |
Tyrone Etsitty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Medicine Horse Dr, Tohajiilee, NM 87026 Phone: 505-908-2307 |
Mariah Kayla Jake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Tribal Road N7071 Unit 3414, Tohajiilee, NM 87026 Phone: 505-373-7278 |