Individual
ANNELIESE WEYRAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Mailing address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2022-0221
NM
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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