Individual
MISS SHYANN APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 HAINES AVE NW, ALBUQUERQUE, NM 87102-1226
(052) 685-6115
(505) 268-5736
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0221761
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/03/2020
Last updated
01/18/2022
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