Organization
R. DENISE CLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCHELL DENISE CLAY MA,LPCC, NCC (PROFESSIONAL CLINICAL COUNSELOR)
(505) 306-4060
Entity
Organization
Contact information
Practice address
4011 BARBARA LOOP SE, SUITE #107, RIO RANCHO, NM 87124-1039
(505) 306-4060
Mailing address
9200 SPAIN RD NE, ALBUQUERQUE, NM 87111-2212
(505) 306-4060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0177271
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19339577
—
NM
Enumeration date
11/28/2015
Last updated
02/11/2016
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