BENJAMIN FIELDS

EL PRADO, NM
NPI1366068025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CSA0211591)
Enumeration Date2020-06-18
Last Update Date2020-06-18
Business Address
BENJAMIN FIELDS LSAA
1208 PASEO DEL PUEBLO NORTE
EL PRADO, NM 87529-8752
Phone number: 850-501-0562
Mailing Address
BENJAMIN FIELDS LSAA
PO BOX 3229
TAOS, NM 87571-3229
Phone number: 850-501-0562
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