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NPI Code Detail

MEDICARE: CHRISTOPHER YORK LSAA

MEDICARE: CHRISTOPHER YORK LSAA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerCCSS
2101YA0400XAddiction (Substance Use Disorder) CounselorCTB-2024-0709NM

General Provider Information

NPI Number : 1467089151
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER YORK LSAA
Provider Business Mailing Address
First Line : 13139 CENTRAL AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87123-3031
Country : US
Telephone Number : 505-595-1607
Fax Number :
Provider Business Practice Location Address
First Line : 13139 CENTRAL AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87123-3031
Country : US
Telephone Number : 505-595-1607
Fax Number : 505-595-1607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 12/23/2025

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Directions to “ CHRISTOPHER YORK LSAA” Practice Location

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