Individual
MS. ANDREA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6 SACRED VISTA, EL PRADO, NM 87529
(575) 613-3221
Mailing address
PO BOX 241, EL PRADO, NM 87529
(505) 613-3221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0086301
NM
Other
Enumeration date
04/25/2006
Last updated
08/31/2011
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