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Individual

KAMERIN STCLAIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
159 MESCALERO TRAIL UNIT 8, RUIDOSO, NM 88345
(505) 336-8005
(505) 257-6655
Mailing address
2814 SUDDERTH #146, RUIDOSO, NM 88345
(505) 336-8005
(505) 257-6655

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC #2714
NM
106H00000X
Marriage & Family Therapist
LMFT #2721RET
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88434231
NM
Enumeration date
05/01/2007
Last updated
02/28/2011
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