Individual
MRS. DENISE MASCARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1313 MISSION AVENUE, FARMINGTON, NM 87401
(505) 327-7218
(505) 327-0828
Mailing address
PO BOX 1830, FARMINGTON, NM 87499-1830
(505) 327-7218
(505) 327-0828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0081561
NM
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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