Individual
EVELINA VITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 GRANDE BLVD SE STE E-3, RIO RANCHO, NM 87124-1799
(505) 585-5113
Mailing address
1740 GRANDE BLVD SE STE E-3, RIO RANCHO, NM 87124-1799
(505) 585-5113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0014
NM
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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