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Individual

SHAULA BEGAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MC, LPCC, NCC

Contact information

Practice address
3300 N BUTLER AVE STE 202, FARMINGTON, NM 87401-2362
(505) 497-0946
Mailing address
PO BOX 1996, FARMINGTON, NM 87499-1996
(505) 497-0946

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0150281
NM
101YM0800X
Mental Health Counselor
Primary
CCMH0175971
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14833310
NM
Enumeration date
09/05/2012
Last updated
07/13/2022
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