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John Walsh IV, CSW

Peer Specialist in Farmington, NM. Individual provider (NPI-1).

NPI number1831979665
StatusActive
Last updated in NPPESSep 29, 2023

Details

NPI
1831979665
Entity type
Individual (NPI-1)
Name
John Walsh IV
Credential
CSW
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2023
Certification date
Sep 29, 2023
Last updated
Sep 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist–NMYes

Practice location

653 W Arrington St
Farmington, NM 87401-8513

Phone 505-564-3733

Mailing address

653 W Arrington St
Farmington, NM 87401-8513

Phone 505-564-3733

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