Individual
MRS. CLARISSA RENEE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1009 N MAIN ST, CLOVIS, NM 88101-5932
(575) 769-4490
(575) 769-4541
Mailing address
PO BOX 19000, CLOVIS, NM 88102-9000
(575) 769-4490
(575) 769-4541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0311
NM
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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