Individual
ROWENA R RUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
109 SOUTH BULLARD, SILVER CITY, NM 88061
(575) 519-2629
Mailing address
2313 PAUL PLACE, SILVER CITY, NM 88061
(575) 519-2209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
156621
NM
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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