Individual
JASMINE DESIREE PUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
01 LIVINGSTON DR BUILDING C SUITE 1, SANTA TERESA, NM 88008-5300
(575) 201-3722
Mailing address
01 LIVINGSTON DR BUILDING C SUITE 1, SANTA TERESA, NM 88008-5300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2024-0047
NM
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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