ELBERT JAMES WHITEHORSE

FARMINGTON, NM
NPI1326342080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  507286887)
Enumeration Date2011-01-10
Last Update Date2011-01-10
Business Address
Mr. ELBERT JAMES WHITEHORSE
1615 OJO CT
FARMINGTON, NM 87401
Phone number: 505-564-4804
Mailing Address
Mr. ELBERT JAMES WHITEHORSE
PO BOX 5190
FARMINGTON, NM 87499-5190
Phone number: 505-564-4804
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