MEDICARE: DANIEL TIMOTHY MORRIS 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CTB-2026-0368	NM

General Provider Information

NPI Number	:	1376471219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL TIMOTHY MORRIS LSAA

Provider Business Mailing Address
First Line	:	2851 PORTO ST SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87121-5417
Country	:	US
Telephone Number	:	505-526-4235
Fax Number	:

Provider Business Practice Location Address
First Line	:	149 JACKSON ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1339
Country	:	US
Telephone Number	:	505-550-1306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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