Individual
DONNA ENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
EXIT 102 1/2 MI S OF I-40, SAN FIDEL, NM 87049
(505) 552-5317
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
X-08924
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
10/30/2014
Last updated
10/30/2014
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