Individual
TINA DELWICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MAIN ST NW, LOS LUNAS, NM 87031-4849
(505) 866-0590
Mailing address
1000 MAIN ST NW, LOS LUNAS, NM 87031-4849
(505) 866-0590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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