Individual
RAYMOND MOSES SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 589-5176
(719) 589-5795
Mailing address
2265 LAVA LN, ALAMOSA, CO 81101-3578
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5630
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CO
Other
Enumeration date
06/05/2007
Last updated
02/11/2019
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