Individual
SARAH JOY MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
820 HWY 478, ANTHONY, NM 88021
(575) 882-5101
(575) 882-6127
Mailing address
PO BOX 4430, ANTHONY, NM 88021-4430
(575) 882-5101
(575) 882-6127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0116231
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24271888
—
NM
Enumeration date
02/22/2007
Last updated
10/08/2009
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