Individual
JEREMIAH QUINTON BILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2105 HASLER VALLEY RD, GALLUP, NM 87301
(505) 471-4985
Mailing address
2105 HASLER VALLEY RD, GALLUP, NM 87301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0659
NM
Other
Enumeration date
11/01/2023
Last updated
04/19/2024
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