Organization
TERRY MAYNES LICENSED PROFESSIONAL CLINICAL COUNSELOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY M MAYNES LPCC (CLINICAL COUNSELOR)
(575) 313-3698
Entity
Organization
Contact information
Practice address
120 ARENAS VALLEY RD, TERRY MAYNES, ARENAS VALLEY, NM 88022
(575) 313-3698
Mailing address
120 ARENAS VALLEY, TERRY MAYNES, ARENAS VALLEY, NM 88022
(575) 313-3698
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0144471
NM
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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