Individual
CAROLYN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ARCHULETA RD, RANCHOS DE TAOS, NM 87557-9756
(575) 751-1223
(575) 751-2812
Mailing address
4 ARCHULETA RD, RANCHOS DE TAOS, NM 87557-9756
(575) 751-1223
(575) 751-2812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0088151
NM
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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