Individual
DAVID EDWARD SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.B.A.
Contact information
Practice address
72 A PLACITAS, EL RITO, NM 87530
(505) 652-8082
Mailing address
PO BOX 418, OJO CALIENTE, NM 87549-0418
(505) 652-8082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0962
NM
Other
Enumeration date
01/12/2023
Last updated
01/23/2023
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