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Individual

JACQUELINE Y BEAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
5686 AGUA FRIA ST, SANTA FE, NM 87507-9001
(505) 983-0586
Mailing address
2215 RANCHO SIRINGO RD APT 1, SANTA FE, NM 87505-5530
(505) 316-2726

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0164631
NM

Other

Enumeration date
04/23/2010
Last updated
05/16/2014
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