Individual
GERASIMOS DEMOSTHENIS KLONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
100 6TH ST S, SOCORRO, NM 87801-4139
(505) 865-4140
Mailing address
3056 FRONTIER AVE NE, ALBUQUERQUE, NM 87106-2037
(505) 865-4140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2023-0800
NM
Other
Enumeration date
09/30/2020
Last updated
01/14/2024
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