Individual
EDDEANA UELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.D.A.C.
Contact information
Practice address
3200 32ND STREET BYP, SILVER CITY, NM 88061-7802
(575) 597-2265
(575) 597-2651
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 572-8384
(575) 597-2651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0105891
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
4110
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85281352
—
NM
Enumeration date
10/05/2016
Last updated
06/11/2020
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