Individual
TAYLOR RAYE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
100 S AVENUE A STE B7, PORTALES, NM 88130-5917
(575) 815-9282
Mailing address
204 W 1ST ST APT A, PORTALES, NM 88130-5916
(575) 815-9282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0173
NM
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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