Individual
WAYNE A SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
1114 PLAZA DEL NORTE STE B, ESPANOLA, NM 87532-3216
(505) 753-8933
(505) 753-9811
Mailing address
1114 PLAZA DEL NORTE STE B, ESPANOLA, NM 87532-3216
(505) 753-8933
(505) 753-9811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0067372
NM
Other
Enumeration date
09/17/2009
Last updated
03/09/2015
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