Individual
MS. JOLENE M. SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1313 MISSION AVENUE, FARMINGTON, NM 87401-5638
(505) 327-7218
(505) 327-0828
Mailing address
PO BOX 1830, FARMINGTON, NM 87499-1830
(505) 327-7218
(505) 327-0828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3473
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26175754
—
NM
Enumeration date
07/19/2006
Last updated
11/21/2018
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