Individual
MS. SUSAN M HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2573 STATE HIGHWAY 522, QUESTA, NM 87556
(575) 586-0315
Mailing address
96 MAESTAS RD UNIT A, RANCHOS DE TAOS, NM 87557-9780
(575) 779-7804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0121831
NM
101YP2500X
Professional Counselor
Primary
0097881
NM
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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