Organization
RIVERBEAR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HORNER LPCC (OWNER)
(575) 756-1560
Entity
Organization
Contact information
Practice address
16306 HWY 64/84, CHAMA, NM 87520
(575) 209-1769
(575) 756-1560
Mailing address
P.O. BOX 1241, CHAMA, NM 87520-1241
(575) 756-1560
(575) 756-1560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0091811
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66931339
—
NM
Enumeration date
01/25/2012
Last updated
01/25/2012
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