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Contact Information

NICOLE BUNNER, LSAA
228 N SCHWARTZ AVE
FARMINGTON, NM87401-5547
 Phone: 505-327-4584
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for NICOLE BUNNER · (Female)

NPI Number 1841942240
Status Active
Credentials LSAA
Entity Individual
Enumeration date 01/26/2022
Last updated 01/14/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • NM License # CTB-2022-0700
  • NM License # CTB20220700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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