Organization
SUSANNA RAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA RAND LPCC (OWNER)
(575) 626-9593
Entity
Organization
Contact information
Practice address
500 N MAIN ST STE 1006, ROSWELL, NM 88201-4768
(575) 626-9593
Mailing address
PO BOX 3564, ROSWELL, NM 88202-3564
(575) 626-9593
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0151651
NM
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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