Individual
CHRISTINA MARIE ROSE WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0159581
NM
Other
Enumeration date
08/02/2013
Last updated
11/08/2013
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