Individual
MRS. EMILY JEAN PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDAC
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4314
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850204142
MEDICARE
NM
Enumeration date
09/16/2006
Last updated
10/21/2015
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