Individual
ALYSSA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 PARKWAY DR, SANTA FE, NM 87507-7322
(505) 983-6158
Mailing address
1524B BISHOPS LODGE RD, SANTA FE, NM 87506-0209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0193851
NM
Other
Enumeration date
01/08/2018
Last updated
03/17/2018
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