ATHENA MARIE GASSOUMIS

SOCORRO, NM
NPI1649569575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0087871)
Enumeration Date2011-03-31
Last Update Date2011-03-31
Business Address
-- ATHENA MARIE GASSOUMIS M.Div., LADAC
119 COURT ST POB 876
SOCORRO, NM 87801-4505
Phone number: 575-835-2389
Mailing Address
-- ATHENA MARIE GASSOUMIS M.Div., LADAC
115-119 COURT STREET P.O.BOX 876
SOCORRO, NM 87801
Phone number: 575-835-2389
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