person
Laurie Mae Grant Desilvera
Mental Health Counselor in Santa Fe, New Mexico
NPI 1972790194

Laurie Mae Grant Desilvera is a Mental Health Counselor based in Santa Fe, NM and is specialized in Mental Health. Laurie Mae Grant Desilvera practices in Santa Fe, NM. The NPI Number for Laurie Mae Grant Desilvera is 1972790194 and holds a License No. T -0107501 (New Mexico).

The current practice location address for Laurie Mae Grant Desilvera is 5312 Jaguar Dr, Santa Fe, NM and can be reached out via phone at 505-471-5006.

Location: 5312 Jaguar Dr, Santa Fe, NM, 87507-1827
person
Provider Profile Details
NPI Number
1972790194
Provider Name
Laurie Mae Grant Desilvera
Credential
Provider Entity Type
Individual
Gender
Female
Address
5312 Jaguar Dr, Santa Fe, NM, 87507-1827
Phone Number
505-471-5006
Fax Number
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5312 Jaguar Dr
City
State
Zip
87507-1827
Phone Number
505-471-5006
Fax Number
person
Provider Business Mailing Address Details
Address
5312 Jaguar Dr
City
State
Zip
87507-1827
Phone Number
505-471-5006
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
T -0107501 (New Mexico)
Definition
Definition to come...
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