Individual
MS. KATHERINE JEAN IMISLUND-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(575) 838-0150
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(575) 838-0150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0131401
NM
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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