Individual
SUSAN JANE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14 MELADO DR, SANTA FE, NM 87508-2254
(505) 466-1483
Mailing address
14 MELADO DR, SANTA FE, NM 87508-2254
(505) 466-1483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4845
NM
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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