Individual
KATHY QUARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
117 E BIRCH ST, DEMING, NM 88030-4148
(575) 936-4177
(575) 936-4177
Mailing address
121 E ELM ST, DEMING, NM 88030-4149
(575) 956-7333
(575) 936-4251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1331
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331
—
NM
Enumeration date
05/25/2022
Last updated
05/25/2022
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