Individual
JODI DAWN SECRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 32ND STREET BYP, SILVER CITY, NM 88061-7802
(575) 597-2650
(575) 597-2651
Mailing address
3201 N MANN DR, SILVER CITY, NM 88061-5945
(575) 914-3201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0225081
NM
101YM0800X
Mental Health Counselor
T-CTL0214061
NM
Other
Enumeration date
11/05/2020
Last updated
06/08/2022
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