MR. William Fresquez, LADAC

NPI #1942510748 in Mora, New Mexico

Provider Information

NPI Number: 1942510748
Entity Type: Individual
Name: MR. William Fresquez, LADAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LADAC
Enumeration Date: Oct 14, 2010
Last Updated: Oct 14, 2010

Practice Location

Address: 508 STATE HWY 518
Address 2: HELPING HANDS INC
City: Mora
State: New Mexico
ZIP Code: 87732-0708
Phone: (575) 387-2288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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