Individual
OLIVIA ERIACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
101 D AVENUE, ZUNI, NM 87327-0339
(505) 782-4710
(505) 782-5880
Mailing address
101 D AVENUE, PO BOX 339, ZUNI, NM 87327-0339
(505) 782-4710
(505) 782-5880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0135581
NM
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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