Individual
ASHLEY BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BERTHA RD, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
02/09/2024
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