person
Nicole Camille Archuleta
Addiction (Substance Use Disorder) Counselor in Espanola, New Mexico
NPI 1720580681

Nicole Camille Archuleta is an Addiction (Substance Use Disorder) Counselor based in Espanola, NM and is specialized in Addiction (Substance Use Disorder). Nicole Camille Archuleta practices in Espanola, NM. The NPI Number for Nicole Camille Archuleta is 1720580681 and holds a License No. 0178081 (New Mexico).

The current practice location address for Nicole Camille Archuleta is 1227 N Railroad Ave Ste C, Espanola, NM and can be reached out via phone at 505-747-8187.

Location: 1227 N Railroad Ave Ste C, Espanola, NM, 87532-3159
person
Provider Profile Details
NPI Number
1720580681
Provider Name
Nicole Camille Archuleta
Credential
Provider Entity Type
Individual
Gender
Female
Address
1227 N Railroad Ave Ste C, Espanola, NM, 87532-3159
Phone Number
505-747-8187
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265683049 05 NM
institution
Provider Business Practice Location Address Details
Address
1227 N Railroad Ave Ste C
City
State
Zip
87532-3159
Phone Number
505-747-8187
Fax Number
person
Provider Business Mailing Address Details
Address
1227 N Railroad Ave Ste C
City
State
Zip
87532-3159
Phone Number
505-747-8187
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0178081 (New Mexico)
Definition
Definition to come...
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