Mary M Dissinger LPCC

NPI 1639356041 - Counselor - 101YM0800X

NPI Details
NPI 1639356041
Gender Female
Enumeration Date 01/28/2008
Last Updated 01/28/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
RATON NM, 87740-4366, US
Phone (575) 445-8568
Fax (575) 445-0540
Business Location
CIMARRON NM, 87714-9645, US
Phone (575) 445-8568
Fax (575) 445-0540
Taxonomy Code 101YM0800X
License State New Mexico
License Number 1495
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According to our database, Ms. Mary M Dissinger LPCC NPI is 1639356041, taxonomy code is 101YM0800X and license number is 1495, license state is located at New Mexico. Mary M Dissinger LPCC physically located at 101 Letton Dr, Raton NM, 87740-4366. NPI Number Mary M Dissinger LPCC has the Individual type.

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1639356041 NPI number is provided on an as is basis without warranty of any kind. 1639356041 is maintained by the National Plan & Provider Enumeration System. The contents of Mary M Dissinger LPCC are for informational purposes only.