Individual
DIANA WHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 STALLION RD, STANLEY, NM 87056
(505) 948-4942
Mailing address
PO BOX 873, EDGEWOOD, NM 87015-0873
(505) 948-4942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0178141
NM
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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