Organization
GERALD GARNER MA LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD G GARNER MA LPC (CONTRACT THERAPIST)
(505) 270-3517
Entity
Organization
Contact information
Practice address
1737 VISTA DE COLINAS DR SE, RIO RANCHO, NM 87124-4158
(505) 270-3517
Mailing address
1737 VISTA DE COLINAS DR SE, RIO RANCHO, NM 87124-4158
(505) 270-3517
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1517
NM
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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