Most Relevant Information
Provider Data
NPI Number: | 1003531161 |
Provider Name: | ZOE KAMBRIA RODRIGUEZ LMSW |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | SWB-2024-0717 |
Most Important Dates
Enumeration Date: | 10/11/2022 |
Last Updated: | 07/11/2024 |
Provider Practice Location
1500 S AVENUE K, STATION 9
PORTALES
NM
881307400
Practice Location Phone/Fax
Phone: | 5755624455 |
Fax: | 5755624460 |
Provider Mailing Location
PO BOX 847
PORTALES
NM
881300847
Provider Mailing Phone/Fax
Phone: | 5752141590 |
Fax: | 5755624460 |