Individual
LORRAINE DESGEORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-5860
Mailing address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-5860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3234
NM
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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