Individual
MS. GLORIA MARIE COEQUYT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,, L.P.C.C.
Contact information
Practice address
208 GRANT AVE STE 309, SANTA FE, NM 87501-1932
(505) 577-5887
Mailing address
223 N GUADALUPE ST # 563, SANTA FE, NM 87501-1868
(505) 577-5887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0636
NM
Other
Enumeration date
07/06/2012
Last updated
07/01/2021
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