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Individual

MS. SHERYL BAHE LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LMHC

Contact information

Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1705
Mailing address
211 W MESA AVE, GALLUP, NM 87301-6382
(505) 237-0061
(505) 237-0068

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0135541
NM

Other

Enumeration date
07/19/2010
Last updated
11/08/2012
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