Individual
NANCY JOAN MIQUELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1441 S SAINT FRANCIS DR, SANTA FE, NM 87505-4037
(505) 982-2177
(505) 982-0620
Mailing address
PO BOX 3517, PAGOSA SPRINGS, CO 81147-3517
(505) 982-8870
(505) 982-0620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0088711
NM
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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