Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 0060081 | NM |
N | 101YS0200X | School Counselor | 298452 | NM |
NPI | 1124178207 |
---|---|
Provider Name | Mrs. Sharon Guzzetti Smaga |
First Address | Alamogordo, NM 88310-9118 |
Second Address | Alamogordo, NM 88310-6343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 24/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50851233 | (05) | NM |