Individual
BETHANY MOORE-GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1413 2ND ST STE 4, SANTA FE, NM 87505-3435
(505) 252-2215
Mailing address
1413 2ND ST STE 4, SANTA FE, NM 87505-3435
(505) 252-2215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0187361
NM
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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