Individual
MS. MATILDA BEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
45 PINSBAARI DRIVE, ACOMA, NM 87034
(505) 552-6661
(505) 552-6426
Mailing address
PO BOX 328, ACOMA, NM 87034
(505) 552-6661
(505) 552-6426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0187771
NM
Other
Enumeration date
02/07/2011
Last updated
07/21/2022
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