SHELLEY I GOAD

EL PRADO, NM
NPI1023884384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CAD0224081)
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
SHELLEY I GOAD
259 BLUEBERRY HILL RD
EL PRADO, NM 87529-7305
Phone number: 214-622-7543
Mailing Address
SHELLEY I GOAD
259 BLUEBERRY HILL RD
EL PRADO, NM 87529-7305
Phone number: 214-622-7543