Individual
DANIEL ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 862-9776
Mailing address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 862-9776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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