Individual
BETH LEE-HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 EARLY ST STE F-1, SANTA FE, NM 87505-1607
(518) 253-7697
Mailing address
1526 CALLE ANGELINA, SANTA FE, NM 87507-8457
(518) 253-7697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CMH0201821
NM
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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