Individual
LORI ANN GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHC
Contact information
Practice address
1441 S SAINT FRANCIS DR, SANTA FE, NM 87505-4037
(505) 982-8870
(505) 982-0620
Mailing address
207 QUAPAW ST, SANTA FE, NM 87505-3829
(505) 982-8870
(505) 982-0620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0105741
NM
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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