Individual
MARTHA LETICIA VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
204 E BALLARD ST, ROSWELL, NM 88203-1804
(575) 244-4472
Mailing address
204 E BALLARD ST, ROSWELL, NM 88203-1804
(575) 244-4472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C-12204
NM
Other
Enumeration date
05/29/2015
Last updated
05/07/2025
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