JUAN CARLOS DEOSES BURCIAGA

SANTA FE, NM
NPI1144731761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-11414)
Additional Taxonomies103K00000X Behavior Analyst
104100000X Social Worker
(Licence: NM  M-10237)
1041S0200X Social Worker, School
(Licence: NM  372693)
Enumeration Date2017-10-23
Last Update Date2021-09-09
Business Address
JUAN CARLOS DEOSES BURCIAGA LCSW
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-5006
Mailing Address
JUAN CARLOS DEOSES BURCIAGA LCSW
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-5006