Individual
MS. KATHLIN PANTEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
99 D AVE, BLACK ROCK, ZUNI, NM 87327-0000
(505) 782-4710
(505) 782-5880
Mailing address
PO BOX 339, ATTN: ZRC, KATHLIN PANTEAH, ZUNI, NM 87327-0339
(505) 782-4710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0131271
NM
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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