Individual
JEREMY TAYLOR LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
650 VANDEN BOSCH PKWY, GALLUP, NM 87301-5508
(505) 726-6910
(505) 722-6192
Mailing address
650 VANDEN BOSCH PKWY, GALLUP, NM 87301-5508
(505) 726-6910
(505) 722-6192
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0064671
NM
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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