Individual
MS. AMANDA JEAN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
99B SUNRISE RD, PUEBLO OF ACOMA, NM 87034
(505) 414-1330
Mailing address
PO BOX 17, ACOMA, NM 87034-0017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0195711
NM
Other
Enumeration date
04/11/2018
Last updated
04/16/2018
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