Individual
MR. JOSEPH E. SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC/LADAC/SAP
Contact information
Practice address
103A SAGAR DRIVE, VANDERWAGEN, NM 87326
(505) 778-5151
(505) 772-5151
Mailing address
PO BOX 190, VANDERWAGEN, NM 87326-0190
(505) 778-5151
(505) 778-5151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-0104081
NM
101YM0800X
Mental Health Counselor
Primary
0089971
NM
Other
Enumeration date
08/13/2007
Last updated
09/29/2011
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