| Ms Jeanette Vice Toledo Vice, LSAA | |
|
Hc 79 Box 1510, Ojo Encino, NM 87013-9612 | |
| (505) 731-1500 | |
| (505) 731-1502 |
| Full Name | Ms Jeanette Vice Toledo Vice |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Hc 79 Box 1510, Ojo Encino, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083986871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 070481 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jeanette Vice Toledo Vice, LSAA Hc 79 Box 1508, Ojo Encino, NM 87013-9612 Ph: (505) 731-1505 | Ms Jeanette Vice Toledo Vice, LSAA Hc 79 Box 1510, Ojo Encino, NM 87013-9612 Ph: (505) 731-1500 |
Ms. Rosita Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: Hc 79 Box 1510, Ojo Encino, NM 87013 Phone: 505-731-1505 Fax: 505-731-1502 | |
Mr. Preston Sandoval, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: Hc 79 Box 1510, Ojo Encino, NM 87013 Phone: 505-731-1505 Fax: 505-731-1502 |