person
Priscilla A Jake
Mental Health Counselor in Gallup, New Mexico
NPI 1811442932

Priscilla A Jake is a Mental Health Counselor based in Gallup, NM and is specialized in Mental Health. Priscilla A Jake practices in Gallup, NM. The NPI Number for Priscilla A Jake is 1811442932 and holds a License No. CTB-2022-0810 (New Mexico).

The current practice location address for Priscilla A Jake is 300 W Nizhoni Blvd Ste A, Gallup, NM and can be reached out via phone at 505-722-9470 and via fax at 505-722-9570.

Location: 300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
person
Provider Profile Details
NPI Number
1811442932
Provider Name
Priscilla A Jake
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
Phone Number
505-722-9470
Fax Number
505-722-9570
Provider Enumeration Date
08/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 W Nizhoni Blvd Ste A
City
State
Zip
87301
Phone Number
505-722-9470
Fax Number
505-722-9570
person
Provider Business Mailing Address Details
Address
300 W Nizhoni Blvd Ste A
City
State
Zip
87301
Phone Number
505-722-9470
Fax Number
505-722-9570
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CTB-2022-0810 (New Mexico)
Definition
Definition to come...
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