Individual
JULIANA MARIE STRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2105 HASLER VALLEY RD, GALLUP, NM 87305
(505) 471-4985
Mailing address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 397-7197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0187131
NM
101YP2500X
Professional Counselor
6401013098
MI
Other
Enumeration date
09/27/2012
Last updated
02/08/2024
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