Individual
SCOTT FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 N INDIO AVE, PORTALES, NM 88130-5634
(505) 690-0588
Mailing address
212 N INDIO AVE, PORTALES, NM 88130-5634
(505) 690-0588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0693
NM
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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