Individual provider · Type 1 NPI
Jessica Braswell I
Addiction (Substance Use Disorder) Counselor · Soorro, NM
NPI number
1114391273
Active
Practice location
1200 US-60
Soorro, NM 87801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0171871 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1114391273
Jessica Braswell I's National Provider Identifier is 1114391273, issued on Nov 30, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Soorro, NM. The record was last updated on Nov 30, 2015.