MS. Jeanette Vice Toledo Vice, LSAA

NPI #1083986871 in Ojo Encino, New Mexico

Provider Information

NPI Number
1083986871
Entity Type
Individual
Name
MS. Jeanette Vice Toledo Vice, LSAA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LSAA
Enumeration Date
Feb 8, 2012
Last Updated
Feb 8, 2012

Practice Location

Address
HC 79 BOX 1510
ZIP Code
87013-9612
Phone
(505) 731-1500

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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