Individual
AMANDA GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1331 GUSDORF RD, TAOS, NM 87571-6282
(575) 758-3601
(575) 758-1058
Mailing address
PO BOX 158, ESPANOLA, NM 87532-0158
(505) 753-7218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
155811
NM
101YM0800X
Mental Health Counselor
T0143261
NM
Other
Enumeration date
12/29/2011
Last updated
03/13/2025
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