Individual
ERNESTINE PLATERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1615 OJO COURT, FARMINGTON, NM 87499
(505) 564-4804
(505) 564-4857
Mailing address
PO BOX 603, KIRTLAND, NM 87417-0603
(505) 860-6853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0095281
NM
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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