Individual
WILLIAM SHANE GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1999
(505) 994-4100
Mailing address
1207 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1999
(505) 994-4100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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