Individual
TRENTON HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 BERTHA RD, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
1201 LA POBLANA RD NW, ALBUQUERQUE, NM 87107-1005
(928) 349-2622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0394
NM
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/13/2022
Last updated
06/16/2023
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