Individual
MR. EMILIO ROYBAL IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
820 PASEO DE PERALTA, SANTA FE, NM 87501-9000
(505) 660-9052
Mailing address
PO BOX 9823, LAS VEGAS, NM 87701-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005651
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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