Individual provider · Type 1 NPI

Kristin Peralta, LSAA

Addiction (Substance Use Disorder) Counselor · Roswell, NM

NPI number 1760192413 Active

Practice location

1107 S Atkinson Ave
Roswell, NM 88203-7154

Fax (575) 578-4828

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2022-0296 (NM)

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

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About NPI 1760192413

Kristin Peralta, LSAA's National Provider Identifier is 1760192413, issued on Dec 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roswell, NM. The record was last updated on Dec 2, 2022.