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Individual

ROSE ANNA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 876-1890
(505) 876-1886
Mailing address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 876-1890
(505) 876-1886

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-CTL0206311
NM
101YP2500X
Professional Counselor
Primary
CCMH0225021
NM

Other

Enumeration date
05/05/2014
Last updated
06/03/2022
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