Individual
ELIZABETH MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1200 N THORNTON ST, SUITE J, CLOVIS, NM 88101-5508
(575) 935-8522
Mailing address
1200 N THORNTON ST, SUITE J, CLOVIS, NM 88101-5508
(575) 935-8522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0170731
NM
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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