Individual
LIDIA ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
PO BOX 292, TOME, NM 87060-0292
(505) 312-0040
Mailing address
838 W DIDIER AVE, BELEN, NM 87002-3160
(575) 835-4357
(505) 514-0732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0713
NM
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/20/2024
Last updated
12/19/2024
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