person
Makayla Kristen Jolly
Addiction (Substance Use Disorder) Counselor in Roswell, New Mexico
NPI 1225702533

Makayla Kristen Jolly is an Addiction (Substance Use Disorder) Counselor based in Roswell, NM and is specialized in Addiction (Substance Use Disorder). Makayla Kristen Jolly practices in Roswell, NM. The NPI Number for Makayla Kristen Jolly is 1225702533 and holds a License No. CSA0217981 (New Mexico).

The current practice location address for Makayla Kristen Jolly is 1107 S Atkinson Ave, Roswell, NM and can be reached out via phone at 575-578-4826 and via fax at 575-578-4828. You can also correspond with Makayla Kristen Jolly through the mailing address at 1107 S ATKINSON AVE, ROSWELL, NM - 88203-7154 (mailing address contact number: 575-578-4826).

Location: 1107 S Atkinson Ave, Roswell, NM, 88203-7154
person
Provider Profile Details
NPI Number
1225702533
Provider Name
Makayla Kristen Jolly
Credential
Provider Entity Type
Individual
Gender
Female
Address
1107 S Atkinson Ave, Roswell, NM, 88203-7154
Phone Number
575-578-4826
Fax Number
575-578-4828
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CSA0217981 05 NM
institution
Provider Business Practice Location Address Details
Address
1107 S Atkinson Ave
City
State
Zip
88203-7154
Phone Number
575-578-4826
Fax Number
575-578-4828
person
Provider Business Mailing Address Details
Address
1107 S Atkinson Ave
City
State
Zip
88203-7154
Phone Number
575-578-4826
Fax Number
575-578-4828
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CSA0217981 (New Mexico)
Definition
Definition to come...
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