Individual
DEWAYNE BEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
1615 OJO COURT, FARMINGTON, NM 87401
(505) 564-4804
(505) 564-4857
Mailing address
PO BOX 2141, FORT DEFIANCE, AZ 86504-2141
(928) 679-5937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0217521
NM
Other
Enumeration date
09/16/2021
Last updated
04/26/2023
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