Individual
JOSE ROBERTO VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
826 ANTHONY DR, ANTHONY, NM 88021
(575) 201-5135
(575) 449-4052
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
06/15/2006
Last updated
11/04/2019
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