Organization · Type 2 NPI
Tdcrotinger
Professional Counselor · Raton, NM
NPI number
1083001002
Active
Practice location
205 Park Ave
Raton, NM 87740-3834
Fax (888) 972-3649
Mailing address
PO Box 1396
Raton, NM 87740-1396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0159381 (NM) |
Professional Counselor: Definition to come...
About NPI 1083001002
Tdcrotinger's National Provider Identifier is 1083001002, issued on Apr 16, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raton, NM. The record was last updated on Apr 16, 2015.