Individual
SHAWN PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCSS, CHW
Contact information
Practice address
19 CEDAR TREE PARK, SANTO DOMINGO PUEBLO, NM 87052-1217
(505) 585-0114
Mailing address
PO BOX 130, SANTO DOMINGO PUEBLO, NM 87052-0130
(505) 585-0114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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