Individual
MRS. NANCY KAY YATES-EAMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LPCC
Contact information
Practice address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
(505) 863-6612
Mailing address
201 E LOGAN AVE, GALLUP, NM 87301-6133
(505) 863-3828
(505) 863-6612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0082501
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00JK91
—
NM
Enumeration date
08/05/2006
Last updated
07/09/2007
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