Individual
DANEE CELESTE BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
200 HUMPHREY RD, CLOVIS, NM 88101-1034
(480) 408-3234
Mailing address
200 HUMPHREY RD, CLOVIS, NM 88101-1034
(480) 408-3234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0342
NM
Other
Enumeration date
04/22/2024
Last updated
09/27/2024
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