Individual
CASSIDY RUTH HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 CAMINO DE VIDA, SUITE 300, SANTA ROSA, NM 88435
(575) 472-4311
(575) 472-4313
Mailing address
117 CAMINO DE VIDA, SUITE 300, SANTA ROSA, NM 88435
(575) 472-4311
(575) 472-4313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0174571
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23736071
—
NM
Enumeration date
03/11/2011
Last updated
03/10/2017
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