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Individual

JANE ANN BRANDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A, LPCC

Contact information

Practice address
21 HOLIDAY DR, TIJERAS, NM 87059-7838
(505) 239-3555
Mailing address
21 HOLIDAY DR., TIJERAS, NM 87059-7838
(505) 239-3555

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0085211
NM

Other

Enumeration date
02/03/2011
Last updated
02/03/2011
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