Individual
MS. LISA C MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
110 SHEEP SPRINGS, JEMEZ PUEBLO, NM 87024
(505) 834-3059
(505) 834-7093
Mailing address
5725 QUAY DR NE, RIO RANCHO, NM 87144-5173
(505) 771-9383
(505) 834-7903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0070821
NM
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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