Individual
JESSE GRAJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 N TELSHOR BLVD STE E, LAS CRUCES, NM 88011-8279
(575) 636-3680
Mailing address
2232 CALAIS AVE, LAS CRUCES, NM 88011-5252
(575) 636-3680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2026-0256
NM
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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