Individual
TARYN LEIGH CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
475 E 20TH ST, FARMINGTON, NM 87401-2151
(505) 327-0293
Mailing address
74 ROAD 3900, FARMINGTON, NM 87401-3203
(719) 200-2905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0222211
NM
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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