Organization
BREAKING BOXES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNI LANE SEARS LMFT, LADAC (CEO)
(575) 297-4039
Entity
Organization
Contact information
Practice address
606 IVY ST, TRUTH OR CONSEQUENCES, NM 87901-1634
(575) 297-4039
(575) 297-4039
Mailing address
606 IVY ST, TRUTH OR CONSEQUENCES, NM 87901-1634
(575) 297-4039
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Enumeration date
02/23/2013
Last updated
01/20/2022
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