Individual
TONJA STARRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 VALLEY VIEW DR SW, LOS LUNAS, NM 87031-9105
(575) 637-5854
Mailing address
1407 VALLEY VIEW DR SW, LOS LUNAS, NM 87031-9105
(575) 637-5854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0126571
NM
1041C0700X
Clinical Social Worker
Primary
C-11211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78308551
—
NM
Enumeration date
08/18/2009
Last updated
05/18/2020
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