Individual
RIENE CHEREE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TOWNSGATE ST, CLOVIS, NM 88101
(575) 742-2620
Mailing address
121 TOWNSGATE, CLOVIS, NM 88101
(575) 742-2620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0115011
NM
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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