Individual
LADONNA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
Mailing address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NM
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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