Individual
MIRANDA B BEKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1313 MISSION AVE., FARMINGTON, NM 87401
(505) 327-7218
Mailing address
1313 MISSION AVE, FARMINGTON, NM 87402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0188901
NM
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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