Individual
JACQUELYN HOPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TOWNSGATE PLZ, CLOVIS, NM 88101-3714
(575) 742-2620
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0148671
NM
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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