Individual
BECKY JO CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
15 OAK ST, CLAYTON, NM 88415-2530
(575) 374-8326
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0127071
NM
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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