Individual
MRS. JOELLYN PAULINE MAGOOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA PSYCHOLOGY, LSAA
Contact information
Practice address
1301 CUBA AVE, ALAMOGORDO, NM 88310-5727
(575) 437-2453
(575) 443-1504
Mailing address
1301 CUBA AVE, P.O. BOX 114, ALAMOGORDO, NM 88310-5727
(575) 437-2453
(575) 443-1504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0141431
NM
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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