Individual
SHANELL ALLEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 E 20TH STREET, FARMINGTON, NM 87401-6543
(505) 609-8519
Mailing address
PO BOX 6543, FARMINGTON, NM 87499-6543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C-10197
NM
1041C0700X
Clinical Social Worker
Primary
CSW.09930408
CO
Other
Enumeration date
11/22/2013
Last updated
12/18/2025
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