Individual
MS. MARIAH G. WINDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC INTERN
Contact information
Practice address
413 SIPAPU ROAD, TAOS, NM 87571
(505) 758-5857
(505) 758-2832
Mailing address
PO BOX 3084, RANCHOS DE TAOS, NM 87557
(305) 751-1496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0087811
NM
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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