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Shasta Skyler Rael
Mental Health Counselor in Clovis, New Mexico
NPI 1023254091

Shasta Skyler Rael is a Mental Health Counselor based in Clovis, NM and is specialized in Mental Health. Shasta Skyler Rael practices in Clovis, NM. The NPI Number for Shasta Skyler Rael is 1023254091 and holds a License No. 0118461 (New Mexico).

The current practice location address for Shasta Skyler Rael is 1100 W. 21St, Clovis, NM and can be reached out via phone at 575-742-2620.

Location: 1100 W. 21St, Clovis, NM, 88101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023254091
Provider Name
Shasta Skyler Rael
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 W. 21St, Clovis, NM, 88101
Phone Number
575-742-2620
Fax Number
Provider Enumeration Date
12/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 W. 21St
City
Clovis
State
New Mexico
Zip
88101
Phone Number
575-742-2620
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W. 21St
City
Clovis
State
New Mexico
Zip
88101
Phone Number
575-742-2620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0118461 (New Mexico)
Definition
Definition to come...
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