Individual
MS. ELIZA CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
413 SIPAPU ST # 6952, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-2832
Mailing address
PO BOX 2916, RANCHOS DE TAOS, NM 87557-2916
(505) 660-2063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0112591
NM
Other
Enumeration date
01/23/2008
Last updated
05/08/2008
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