Individual
SHANMARIAH BROOKE HOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6582 E MAIN ST, FARMINGTON, NM 87402
(505) 947-9990
Mailing address
PO BOX 1053, KIRTLAND, NM 87417-1053
(505) 801-9079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0582
NM
Other
Enumeration date
07/12/2023
Last updated
10/05/2023
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