Individual
BEVERLY JANE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PCC-S
Contact information
Practice address
2200 GRANDE BLVD SE, SUITE B, RIO RANCHO, NM 87124-1695
(937) 266-3933
Mailing address
2200 GRANDE BLVD SE, SUITE B, RIO RANCHO, NM 87124-1695
(937) 266-3933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E 0500587 SUPV
OH
101YM0800X
Mental Health Counselor
Primary
0157251
NM
Other
Enumeration date
11/01/2012
Last updated
01/09/2016
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