Individual
TERRY GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
11 PLEASANT VIEW DR, BELEN, NM 87002-7907
(505) 559-3795
Mailing address
11 PLEASANT VIEW DR, BELEN, NM 87002-7907
(505) 559-3795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1702
NM
101YP2500X
Professional Counselor
Primary
1702
NM
Other
Enumeration date
04/14/2016
Last updated
04/19/2016
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