Individual
SONYA EVETTE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Mailing address
PO BOX 513, GALLUP, NM 87305-0513
(713) 870-5966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
TX
104100000X
Social Worker
Primary
SWB-2024-1004
NM
Other
Enumeration date
03/29/2023
Last updated
01/22/2025
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