Individual
MISS GABRIELLE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
Mailing address
2742 FOOTHILLS AVE, GALLUP, NM 87301-7431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0421
NM
Other
Enumeration date
08/15/2022
Last updated
06/02/2023
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