Individual
MARK SPEIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 CIRCULO DE VISTAS, ARROYO SECO, NM 87514-0531
(202) 441-0546
Mailing address
PO BOX 531, ARROYO SECO, NM 87514-0531
(202) 441-0546
(575) 776-8553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0209141
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/30/2020
Last updated
11/30/2020
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