Individual
MR. NATHAN MATTHEW PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1717 W 2ND ST STE 116, ROSWELL, NM 88201-2027
(575) 840-1075
(575) 623-1240
Mailing address
PO BOX 4425, ROSWELL, NM 88202-4425
(575) 840-1075
(575) 623-1240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09926
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39221008
—
NM
Enumeration date
09/17/2009
Last updated
10/25/2022
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