Individual
MRS. CAROLYN JENNIFER KATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
254 MERIDA DR, ANTHONY, NM 88021-8225
(575) 805-4234
(575) 882-1095
Mailing address
254 MERIDA DR, ANTHONY, NM 88021-8225
(575) 805-4234
(575) 882-1095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0181091
NM
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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