Individual
DR. RAYMOND EARL HILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1536 BISHOPS LODGE RD, SANTA FE, NM 87506-0005
(505) 412-0246
Mailing address
PO BOX 217, SAGUACHE, CO 81149-0217
(505) 412-0246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2254
NM
103T00000X
Psychologist
Primary
1486
CO
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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