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Individual

MRS. IDA LUPE MONTES-SALCEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
124 RUIDOSO WARRIOR DR, RUIDOSO, NM 88345
(575) 630-7974
Mailing address
143 EL PASO RD, RUIDOSO, NM 88345-6033
(575) 686-8297

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0207531
NM

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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