Individual
SAMUEL NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
101 LIVINGSTON LOOP STE C1, SANTA TERESA, NM 88008-9753
(575) 824-9000
(866) 596-6125
Mailing address
PO BOX 1063, SANTA TERESA, NM 88008-1063
(575) 824-9000
(866) 596-6125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I-07343
NM
1041C0700X
Clinical Social Worker
Primary
02067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040468307
—
TX
05
—
040468308
—
TX
05
—
99436311
—
NM
Enumeration date
06/06/2006
Last updated
11/25/2024
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