Individual
ADRIANNA B SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
835 SPRUCE ST STE C&D, ESPANOLA, NM 87532-3455
(505) 747-7400
Mailing address
PO BOX 535, DIXON, NM 87527-0535
(505) 927-4562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0059
NM
101YM0800X
Mental Health Counselor
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Other
Enumeration date
08/07/2022
Last updated
02/12/2023
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