Organization
DESERT RAIN THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE DYKE LCSW (MENTAL HEALTH THERAPIST)
(575) 740-6101
Entity
Organization
Contact information
Practice address
1000 LOCUST ST, T OR C, NM 87901-1526
(575) 740-6101
Mailing address
1000 LOCUST ST, T OR C, NM 87901-1526
(575) 740-6101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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