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Joseph Sabaquie, LSAA

Counselor, Addiction (Substance Use Disorder) in Kewa, NM. Individual provider (NPI-1).

NPI number1861925380
StatusActive
Last updated in NPPESApr 11, 2017

Details

NPI
1861925380
Entity type
Individual (NPI-1)
Name
Joseph Sabaquie
Credential
LSAA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2017
Last updated
Apr 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)0171041NMYes

Practice location

10 Tesuque St
Kewa, NM 87052-9998

Phone 505-465-2733 · Fax 505-465-0433

Mailing address

10 Tesuque St
Kewa, NM 87052-9998

Phone 505-465-2733 · Fax 505-465-0433

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