Individual
RALPH TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
601 W 2ND ST, SUITE 10, ROSWELL, NM 88201-4670
(575) 623-9322
(575) 627-6339
Mailing address
312 W ALAMEDA ST, ROSWELL, NM 88203-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2758
NM
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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