Individual
THERESA TOLTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
SOUTHWEST HIGHLAND DRIVE, CROWNPOINT, NM 87313-1144
(505) 786-2423
(505) 786-5442
Mailing address
SOUTHWEST HIGHLAND DRIVE, CROWNPOINT, NM 87313-1144
(505) 786-2423
(505) 786-5442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
79291
NM
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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