person
Jacquelyn Speake, LPCC
Mental Health Counselor in Farmington, New Mexico
NPI 1417189887

Jacquelyn Speake is a Mental Health Counselor based in Farmington, NM and is specialized in Mental Health. Jacquelyn Speake practices in Farmington, NM and has the professional credentials of LPCC. The NPI Number for Jacquelyn Speake is 1417189887 and holds a License No. 0123811 (New Mexico).

The current practice location address for Jacquelyn Speake is 114 N Behrend Ave, Farmington, NM and can be reached out via phone at 505-326-2736 and via fax at 505-325-2127.

Location: 114 N Behrend Ave, Farmington, NM, 87401-8414
person
Provider Profile Details
NPI Number
1417189887
Provider Name
Jacquelyn Speake
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
114 N Behrend Ave, Farmington, NM, 87401-8414
Phone Number
505-326-2736
Fax Number
505-325-2127
Provider Enumeration Date
08/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
114 N Behrend Ave
City
State
Zip
87401-8414
Phone Number
505-326-2736
Fax Number
505-325-2127
person
Provider Business Mailing Address Details
Address
114 N Behrend Ave
City
State
Zip
87401-8414
Phone Number
505-326-2736
Fax Number
505-325-2127
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0123811 (New Mexico)
Definition
Definition to come...
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