Individual
MS. BLYTHE JANE SILANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
933 CAMINO DE CHELLY, SANTA FE, NM 87505-6261
(505) 690-1548
Mailing address
933 CAMINO DE CHELLY, SANTA FE, NM 87505-6261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0095311
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095311
CLINICAL MENTAL HEALTH
NM
Enumeration date
01/10/2007
Last updated
07/08/2007
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