Organization
JONI DUNN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN MACCRACKEN LCSW (OWNER)
(575) 770-3126
Entity
Organization
Contact information
Practice address
217 HINDE PL, TAOS, NM 87571
(575) 770-3126
(888) 827-0978
Mailing address
217 HINDE PL, TAOS, NM 87571
(575) 770-3126
(888) 827-0978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NM
251S00000X
Community/Behavioral Health Agency
Primary
I06568
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75658704
DD WAIVER
NM
05
—
91385547
—
NM
Enumeration date
01/19/2010
Last updated
07/21/2022
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