Individual
JOAQUIN R SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 SUNSET LOOP, MESCALERO, NM 88340-0228
(575) 464-4432
(505) 212-0576
Mailing address
107 SUNSET LOOP, MESCALERO, NM 88340-0228
(575) 464-4432
(505) 212-0576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSA0201701
NM
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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