Individual
ANN LARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
102 E HIGH ST, TUCUMCARI, NM 88401-2726
(505) 461-6200
(505) 461-0404
Mailing address
6331 QUAY ROAD A, P.O. BOX 178, SAN JON, NM 88434-9639
(505) 576-1234
(505) 461-0404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0088741
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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