Individual
MEAGEN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2700 E 7TH ST, CLOVIS, NM 88101-1708
(575) 749-5770
Mailing address
136 HIGHLAND DR, CLOVIS, NM 88101-3510
(575) 749-5770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2025-0898
NM
Other
Enumeration date
04/08/2024
Last updated
12/11/2025
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