SELENA EBONY MOYA

ESPANOLA, NM
NPI1295698280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CTB-2022-0970)
Enumeration Date2025-12-05
Last Update Date2025-12-05
Business Address
SELENA EBONY MOYA LSAA
1227 N RAILROAD AVE STE C
ESPANOLA, NM 87532-3159
Phone number: 505-747-8187
Mailing Address
SELENA EBONY MOYA LSAA
1227 N RAILROAD AVE STE C
ESPANOLA, NM 87532-3159
Phone number: 505-747-8187