Individual
JOHN BUFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
206 PORR DR, RUIDOSO, NM 88345
(575) 630-0571
(575) 630-0574
Mailing address
PO BOX 28220, SANTA FE, NM 87592
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0068182
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L7094
—
NM
Enumeration date
09/09/2009
Last updated
09/09/2009
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