Individual
DAPHNIE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 326-9157
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 326-9157
(505) 326-5055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0204571
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB20220688
NM
Other
Enumeration date
06/12/2019
Last updated
09/27/2022
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