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Nathan Joe Suazo, CPSW

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

NPI number1982253357
StatusActive
Last updated in NPPESSep 9, 2019

Details

NPI
1982253357
Entity type
Individual (NPI-1)
Name
Nathan Joe Suazo
Credential
CPSW
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2019
Last updated
Sep 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist983NMYes

Practice location

230 Rotten Tree Road
Taos, NM 87571

Phone 575-758-7824 · Fax 575-758-3346

Mailing address

Po Box 1846
Taos, NM 87571-1846

Phone 575-758-7824 · Fax 575-758-3346

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