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Individual

MR. EUGENE I HINOJOS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
2595 WEST HIGHWAY 66, GRANTS, NM 87020
(505) 285-5451
(505) 285-6436
Mailing address
2595 WEST HIGHWAY 66, GRANTS, NM 87020
(505) 285-5451
(505) 285-6436

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0141591
NM
101YM0800X
Mental Health Counselor
M-07609
NM
1041C0700X
Clinical Social Worker
Primary
I-08547
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99852390
NM
Enumeration date
04/10/2012
Last updated
02/12/2014
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