Individual
RONALD EARL HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
2610 N SILVER ST, SILVER CITY, NM 88061-7299
(575) 313-9105
Mailing address
602 E BIRCH ST, SILVER CITY, NM 88061-7102
(575) 313-9105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-20-078
OR
175T00000X
Peer Specialist
Primary
1384
NM
Other
Enumeration date
02/14/2020
Last updated
08/22/2022
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