person
Jodi Dawn Secret
Mental Health Counselor in Silver City, New Mexico
NPI 1174124119

Jodi Dawn Secret is a Mental Health Counselor based in Silver City, NM and is specialized in Mental Health. Jodi Dawn Secret practices in Silver City, NM. The NPI Number for Jodi Dawn Secret is 1174124119 and holds a License No. T-CTL0214061 (New Mexico).

The current practice location address for Jodi Dawn Secret is 3200 32Nd Street Byp, Silver City, NM and can be reached out via phone at 575-597-2650 and via fax at 575-597-2651. You can also correspond with Jodi Dawn Secret through the mailing address at 3201 N MANN DR, SILVER CITY, NM - 88061-5945 (mailing address contact number: 575-914-3201).

Location: 3200 32Nd Street Byp, Silver City, NM, 88061-5945
person
Provider Profile Details
NPI Number
1174124119
Provider Name
Jodi Dawn Secret
Credential
Provider Entity Type
Individual
Gender
Female
Address
3200 32Nd Street Byp, Silver City, NM, 88061-5945
Phone Number
575-597-2650
Fax Number
575-597-2651
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 32Nd Street Byp
City
State
Zip
88061-7802
Phone Number
575-597-2650
Fax Number
575-597-2651
person
Provider Business Mailing Address Details
Address
3200 32Nd Street Byp
City
State
Zip
88061-7802
Phone Number
575-597-2650
Fax Number
575-597-2651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
T-CTL0214061 (New Mexico)
Definition
Definition to come...
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