Individual
AMANDA ABEYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
835 SPRUCE ST STE C&D, ESPANOLA, NM 87532-3455
(505) 747-7400
(505) 443-8310
Mailing address
835 SPRUCE ST STE C&D, ESPANOLA, NM 87532-3455
(505) 747-7400
(505) 443-8310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0276
NM
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/06/2020
Last updated
05/13/2026
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