Individual
BEVERLENA BENALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513
(505) 564-3733
Mailing address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513
(505) 564-3733
(505) 564-3788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB20220871
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/29/2018
Last updated
07/23/2025
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