Individual
MS. BRANDY L THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
PO BOX 680, SILVER CITY, NM 88062-0680
(575) 538-6805
Mailing address
PO BOX 680, SILVER CITY, NM 88062-0680
(575) 538-6805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0415
NM
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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