Individual
MR. RICHARD W JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
906 N BUTLER AVE, FARMINGTON, NM 87401-6860
(505) 801-5127
Mailing address
906 N BUTLER AVE, FARMINGTON, NM 87401-6860
(505) 801-5127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0110671
NM
Other
Enumeration date
06/19/2010
Last updated
06/19/2010
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