Individual
MRS. GRACIELA ZAMUDIO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBCC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0133251
NM
101YP2500X
Professional Counselor
Primary
0168601
NM
Other
Enumeration date
06/02/2011
Last updated
11/04/2014
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