Individual
SAMANTHA PAULISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 21ST STREET, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013
Mailing address
1100 W 21ST STREET, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60908700
—
NM
Enumeration date
11/12/2019
Last updated
09/07/2023
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