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Individual

MS. DORCAS FIELDSON BREM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
318 N BROADWAY ST, TRUTH OR CONSEQUENCES, NM 87901-2834
(575) 937-7751
Mailing address
318 N BROADWAY ST, TRUTH OR CONSEQUENCES, NM 87901-2834
(575) 937-7751

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0109611
NM
101YP2500X
Professional Counselor
156
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15025225
NM
Enumeration date
02/01/2008
Last updated
01/23/2014
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