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Individual

JANICE L KIEHNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICENSED MENTAL HEAL

Contact information

Practice address
#1 FOSTER ROAD, RESERVE, NM 87830
(575) 533-6649
(575) 534-1150
Mailing address
PO BOX 1349, SILVER CITY, NM 88062-1349
(575) 388-4497
(575) 534-1150

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0072471
NM
101Y00000X
Counselor
0072471

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18728359
NM
Enumeration date
05/21/2007
Last updated
12/13/2011
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