Individual
DR. JAMES MITCHELL GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
7715 APACHE AVE NE, ALBUQUERQUE, NM 87110-4702
(505) 252-0454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0982
NM
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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