Individual
JESSICA TUMPOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 N WEST ST, SILVER CITY, NM 88061-4635
(575) 654-0576
Mailing address
1701 N JUNIPER AVE, SILVER CITY, NM 88061-5675
(575) 313-5574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2022-0284
NM
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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