Individual
MARTHA GABRIELA QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 469-9156
Mailing address
53 CAMINO MONTOYA, SANTA FE, NM 87507-4261
(505) 469-9156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0084
NM
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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