Individual
JONNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N BROADWAY ST, TRUTH OR CONSEQUENCES, NM 87901-2834
(575) 740-0719
Mailing address
PO BOX 125, CABALLO, NM 87931-0125
(575) 740-0719
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T-CTL0197631
NM
Other
Enumeration date
11/06/2018
Last updated
04/25/2024
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