Individual provider · Type 1 NPI

Selena Ebony Moya, LSAA

Addiction (Substance Use Disorder) Counselor · Espanola, NM

NPI number 1295698280 Active

Practice location

1227 N Railroad Ave Ste C
Espanola, NM 87532-3159

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2022-0970 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295698280

Selena Ebony Moya, LSAA's National Provider Identifier is 1295698280, issued on Dec 5, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Espanola, NM. The record was last updated on Dec 5, 2025.