Individual
PENNI LANE SEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 IVY ST, TRUTH OR CONSEQUENCES, NM 87901-1634
(575) 496-8174
Mailing address
1702 NEVADA AVE APT 3, LAS CRUCES, NM 88001-4114
(505) 496-8174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0111001
NM
106H00000X
Marriage & Family Therapist
Primary
0106931
NM
Other
Enumeration date
02/19/2007
Last updated
12/12/2024
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