Individual
BILLIE K VESELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
750 BROADMOOR BLVD NE STE E, RIO RANCHO, NM 87124-3442
(505) 565-7949
Mailing address
1380 RIO RANCHO DR SE # 432, RIO RANCHO, NM 87124-1006
(505) 565-7949
(877) 440-8944
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0203901
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43577288
—
NM
Enumeration date
06/11/2019
Last updated
07/23/2022
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