Individual
LAUREN MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
3300 N BUTLER AVE, FARMINGTON, NM 87401-5621
(505) 320-7733
Mailing address
3300 N BUTLER AVE, FARMINGTON, NM 87401-5621
(505) 320-7733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0174951
NM
Other
Enumeration date
06/24/2010
Last updated
01/20/2022
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