Individual
AUTUMN ARAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PAISANO ST NE, ALBUQUERQUE, NM 87123-1453
(505) 948-0288
Mailing address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
(505) 720-0590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0214241
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1315
NM
Other
Enumeration date
02/04/2021
Last updated
12/03/2024
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