Individual
LUCIE MARGARET HAMEL PEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
404 HUNTER ST, ESPANOLA, NM 87532-2655
(541) 815-2777
Mailing address
800 CAMINO DEL PONIENTE, SANTA FE, NM 87505-2874
(541) 815-2777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2024-0625
NM
106S00000X
Behavior Technician
—
NM
Other
Enumeration date
12/13/2019
Last updated
09/04/2024
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