Individual
MS. DEBORAH E GAUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-9149
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-9149
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0091341
NM
101YM0800X
Mental Health Counselor
0171441
NM
Other
Enumeration date
12/11/2006
Last updated
03/18/2015
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