Individual
DESEREE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 29TH ST SE, RIO RANCHO, NM 87124-5209
(505) 218-6706
Mailing address
1909 29TH ST SE, RIO RANCHO, NM 87124-5209
(505) 218-6706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2026-0210
NM
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
03/12/2026
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