Individual
MS. GAIL J GRAMBLING HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4686 CORRALES RD, CORRALES, NM 87048-8610
(505) 266-7693
(505) 890-4223
Mailing address
PO BOX 1069, CORRALES, NM 87048-1069
(505) 266-7693
(505) 890-4223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0642
NM
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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