Individual
MRS. REBECCA J. GALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1615 OJO COURT, FARMINGTON, NM 84701
(505) 564-4804
Mailing address
5841 HIGHWAY 140, HESPERUS, CO 81326-9354
(303) 521-5598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1899
CO
1041C0700X
Clinical Social Worker
Primary
X-10350
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740659804
PMS DBA TOTAH BEHAVIORAL HEALTH
NM
Enumeration date
08/26/2013
Last updated
12/20/2018
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