Individual
REBEKAH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N BROADWAY ST, TRUTH OR CONSEQUENCES, NM 87901-2834
(575) 297-0157
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0992
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/03/2016
Last updated
06/20/2025
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