Individual
VASHTI JEAN SCHWEEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1701 US RT. 66, SUITE D, MORIARTY, NM 87035
(505) 832-9135
(505) 832-9404
Mailing address
PO BOX 1978, MORIARTY, NM 87035-1978
(505) 832-9135
(505) 832-9404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0627
NM
104100000X
Social Worker
B1708
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B6266
—
NM
Enumeration date
09/20/2012
Last updated
09/20/2012
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