Individual
CATHERINE L TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 W HEMLOCK ST, DEMING, NM 88030-3622
(575) 694-5478
Mailing address
52 BURKE LOOP, SILVER CITY, NM 88061-8700
(575) 956-3157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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