Doctor Name: | MARIA ESMERALDA REYES |
NPI Number: | 1215359278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | M-08003 |
Business Practice Address: | 1301 West Washington Street Anthony, NM - 880218846 |
Business Phone Number: | 5758826101 |
Business Fax Number: | 5758826926 |
Mailing Address: | P.o. Drawer 70, ANTHONY |
State: | NM |
Postal Code: | 880470070 |
Phone Number: | 5758826101 |
Fax Number: | 5758826926 |
NPI Enumeration Date: | 01/10/2014 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | M-08003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |