Individual
JULIA JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
12 IMMANUEL, SANTA FE, NM 87508-9114
(505) 920-2488
Mailing address
12 IMMANUEL, SANTA FE, NM 87508-9114
(505) 920-2488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0180211
NM
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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