Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY MOONEYHAM
ActiveJEREMY MOONEYHAM is a Counselor healthcare provider located in TAOS, New Mexico. NPI 1538464300 is currently active in the NPPES registry. Verify at CMS.
Counselor · TAOS, NM
Registration Details
- NPI Number
- 1538464300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2011 (15.539348414868 yrs)
- Last Updated
- Jan 25, 2011
Practice Information
- Address
-
118 ESTE ES RD UNIT HTAOS, NM, 875716669Browse NM providers · Browse ZIP 87571
- Phone
- 5757587263
- Fax
- 5757583535
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in TAOS, NM
| Name | Credential | NPI |
|---|---|---|
| CHARLES MACNEILL | BMS | 1154554558 |
| LISA B MARTINEZ | BMS | 1558594937 |
| NICOLE MARES | BMS | 1235362617 |
| JAMES F VIGIL | BMS/CSW PROGRAM COOR | 1316170665 |
| JULIA M TORREZ | BMS | 1699908996 |
| SARAH R WELCH | BMS | 1215160668 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.