Individual
MS. LORENDA A JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
HWY 491 N., PINON ST., SHIPROCK, NM 87420
(505) 368-1050
(505) 368-1055
Mailing address
HWY 491 N. PINON STREET, SHIPROCK, NM 87420
(505) 368-1432
(505) 368-1461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4418
NM
Other
Enumeration date
05/24/2007
Last updated
07/12/2019
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