Individual
ELISA ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6666 4TH ST NW STE C-1, LOS RANCHOS, NM 87107-6144
(505) 705-1125
Mailing address
6666 4TH ST NW STE C-1, LOS RANCHOS, NM 87107-6144
(505) 705-1125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0040
NM
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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