Individual
JOSEPH SALACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPPC
Contact information
Practice address
820 PASEO DE PERALTA, SANTA FE, NM 87501-2233
(505) 995-9550
Mailing address
501 RIO GRANDE AVE, B1, SANTA FE, NM 87501-1396
(505) 986-6172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2028
NM
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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