Tori Renee Marden
Individual provider Active NPI Counselor · Mescalero, NM
NPI 1396914768 · NPPES record last updated Feb 29, 2008
Key facts
- NPI
- 1396914768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 780 White Mountain Drive
Mescalero, NM 88340 - Phone
- (505) 973-1717
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
780 White Mountain Drive
Mescalero, NM 88340
Mailing address
780 White Mountain Drive
Mescalero, NM 88340
Other providers in Mescalero, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.