Individual
MS. HEDY M TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
3001 HOT SPRINGS BLVD, SUITE 6, LAS VEGAS, NM 87701-4175
(505) 425-6786
(505) 425-6786
Mailing address
PO BOX 61, OCATE, NM 87734
(505) 429-2108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0087641
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4888324
—
NM
Enumeration date
04/28/2006
Last updated
02/25/2009
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