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Yvonne M Mandagaran, LPPC
Mental Health Counselor in Thoreau, New Mexico
NPI 1467767038

Yvonne M Mandagaran is a Mental Health Counselor based in Thoreau, NM and is specialized in Mental Health. Yvonne M Mandagaran practices in Thoreau, NM and has the professional credentials of LPPC. The NPI Number for Yvonne M Mandagaran is 1467767038 and holds a License No. 0126051 (New Mexico).

The current practice location address for Yvonne M Mandagaran is Hc 62 Box 2909, Thoreau, NM and can be reached out via phone at 505-240-1290.

Location: Hc 62 Box 2909, Thoreau, NM, 87323-9505
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Provider Profile Details
NPI Number
1467767038
Provider Name
Yvonne M Mandagaran
Credential
LPPC
Provider Entity Type
Individual
Gender
Female
Address
Hc 62 Box 2909, Thoreau, NM, 87323-9505
Phone Number
505-240-1290
Fax Number
Provider Enumeration Date
08/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435 05 NM
institution
Provider Business Practice Location Address Details
Address
Hc 62 Box 2909
City
State
Zip
87323-9505
Phone Number
505-240-1290
Fax Number
person
Provider Business Mailing Address Details
Address
Hc 62 Box 2909
City
State
Zip
87323-9505
Phone Number
505-240-1290
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0126051 (New Mexico)
Definition
Definition to come...
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