Individual
MARSHA ANN GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TOWNSGATE PLZ, CLOVIS, NM 88101-3714
(575) 742-2620
(575) 742-3182
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
0149951
NM
Other
Enumeration date
10/28/2010
Last updated
07/27/2012
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