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Individual

ASHLEIGH E BEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
412 SIPAPU ST, TAOS, NM 87571-6498
(505) 770-9513
Mailing address
PO BOX 786, ARROYO SECO, NM 87514-0786

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CSA0202601
NM
101YM0800X
Mental Health Counselor
Primary
CMH0208191
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73725773
NM
Enumeration date
05/17/2019
Last updated
11/21/2019
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