Individual
SHAWNA B RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC LPCC
Contact information
Practice address
3510 MESSINA DR, FARMINGTON, NM 87402-4782
(505) 609-8299
Mailing address
3510 MESSINA DR, FARMINGTON, NM 87402-4782
(505) 320-5553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0154441
NM
101YP2500X
Professional Counselor
CTB20230967
NM
Other
Enumeration date
05/06/2016
Last updated
05/07/2025
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