Individual
NICOLE JUDITH ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1100 S MAIN ST, LAS CRUCES, NM 88005-2917
(575) 233-7030
Mailing address
1100 S. MAIN ST., LAS CRUCES, NM 88005
(575) 233-7030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0165941
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
04/13/2010
Last updated
01/22/2015
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