Individual
SHARON ANTONIA LOERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
15 FEEDLOT LN, CLAYTON, NM 88415-4790
(505) 435-3630
Mailing address
1828 LUTHY DR NE, ALBUQUERQUE, NM 87112-2849
(505) 804-8094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2022-0257
NM
Other
Enumeration date
05/12/2009
Last updated
11/13/2024
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