Individual
MRS. MARLA S MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICIAL MENTAL HEA
Contact information
Practice address
315 S HUDSON, STE 19, SILVER CITY, NM 88061
(505) 388-4497
(505) 534-1150
Mailing address
PO BOX 1349, SILVER CITY, NM 88062-1349
(505) 388-4497
(505) 534-1150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0084451
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44379056
—
NM
Enumeration date
08/27/2006
Last updated
10/21/2009
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