Individual
JULIA BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC,NCC,CEAP
Contact information
Practice address
2916 GOVERNOR MABRY CT, SANTA FE, NM 87505-6438
(505) 310-9069
Mailing address
PO BOX 28628, SANTA FE, NM 87592-8628
(505) 363-3293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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