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Individual

PATRICK GALLEGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
95A MONICA RD, LOS LUNAS, NM 87031-7071
(505) 203-1589
Mailing address
95A MONICA RD, LOS LUNAS, NM 87031-7071
(505) 203-1589

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0189971
NM

Other

Enumeration date
08/06/2015
Last updated
08/20/2024
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