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Individual

BARRY ORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
2105 HASLER VALLEY RD, GALLUP, NM, NM 87301
(505) 413-3447
Mailing address
2105 HASLER VALLEY RD, GALLUP, NM, NM 87301
(505) 413-3447

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0205981
NM
101YM0800X
Mental Health Counselor
Primary
CTL0216221
NM

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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