Individual
KATHERINE M WORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FSS
Contact information
Practice address
306 GUYORA LN, TAOS, NM 87571-6550
(575) 770-8614
Mailing address
306 GUYORA LN, TAOS, NM 87571-6550
(575) 770-8614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
0132211
NM
Other
Enumeration date
09/02/2009
Last updated
06/28/2022
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