-- MONICA BANUELOS --
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1073942934- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1100 W 21ST ST, CLOVIS, NM, 881014151
- Phone
- (575) 769-2345
- Fax
- (575) 769-8974
Specialties & Taxonomies
Counselor
Primary License: NM #T-0161201