Individual
LOUISE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 FAIRVIEW DRIVE, SUITE B, ESPANOLA, NM 87532
(505) 747-1991
Mailing address
314 DON FERNANDO ST., TAOS, NM 87571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0064521
NM
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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