Individual
TANYA POWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S BULLARD ST, SILVER CITY, NM 88061-5313
(575) 519-2629
Mailing address
406 N PINOS ALTOS ST, SILVER CITY, NM 88061-4964
(575) 519-2629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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