Individual
MEREDITH BENTON ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PASEO DEL CANON W STE A, TAOS, NM 87571-6943
(575) 737-5533
(575) 737-5534
Mailing address
PO BOX 1673, EL PRADO, NM 87529-1673
(510) 980-1398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2023-0614
NM
104100000X
Social Worker
Primary
SWB-2024-1094
NM
133V00000X
Registered Dietitian
164005585
IL
Other
Enumeration date
12/14/2011
Last updated
08/20/2025
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