Individual
JANN ELIZABETH JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LMHC NCC
Contact information
Practice address
1207 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1999
(505) 944-4100
Mailing address
979 IVORY RD SE, RIO RANCHO, NM 87124-3020
(505) 258-6898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CT10198281
NM
Other
Enumeration date
11/18/2018
Last updated
11/18/2018
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