Individual
AUGUSTA SUNSHINE DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
501 PASEO DEL PUEBLO NORTE, TAOS, NM 87571
(575) 758-2695
(575) 751-5105
Mailing address
PO BOX 1846, TAOS, NM 87571-1846
(575) 758-2695
(575) 751-5105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295971505
MENTAL HEALTH
NM
Enumeration date
06/25/2021
Last updated
06/25/2021
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