Individual
JUDITH L KERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1720 E 32ND ST, SILVER CITY, NM 88061-8304
(575) 388-2693
(575) 534-1150
Mailing address
PO BOX 1349, SILVER CITY, NM 88062-1349
(575) 388-4497
(575) 534-1150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0143351
NM
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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