Individual
MS. SUSANNA RAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5018 CARL DR, ROSWELL, NM 88201-8646
(575) 626-9593
Mailing address
PO BOX 3564, ROSWELL, NM 88202-3564
(575) 626-9593
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0151651
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53203780
—
NM
Enumeration date
04/11/2007
Last updated
03/17/2018
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