JEWELL CODY

ROSWELL, NM
NPI1861050320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CTB-2025-0376)
Enumeration Date2019-05-30
Last Update Date2026-02-11
Business Address
JEWELL CODY LADAC
72 GAIL HARRIS ST
ROSWELL, NM 88203-8116
Phone number: 575-347-3400
Mailing Address
JEWELL CODY LADAC
28 W MARTIN ST
ROSWELL, NM 88203-8451
Phone number: 907-416-8571