Individual
JAMES JOSEPH PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N THORNTON ST, CLOVIS, NM 88101-5508
(575) 935-4411
Mailing address
312 PINE ST, CLOVIS, NM 88101-8452
(575) 914-3465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0214411
NM
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0030
NM
Other
Enumeration date
10/15/2019
Last updated
02/03/2025
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