CONSUELO CHRISTINA SMITH

GALLUP, NM
NPI1912531963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CSA0196801)
Enumeration Date2020-02-28
Last Update Date2020-02-28
Business Address
Ms. CONSUELO CHRISTINA SMITH LSAA
650 VANDENBOSCH PKWY
GALLUP, NM 87301-5508
Phone number: 505-726-6919
Mailing Address
Ms. CONSUELO CHRISTINA SMITH LSAA
650 VANDENBOSCH PKWY
GALLUP, NM 87301-5508
Phone number: 505-726-6919