Individual provider · Type 1 NPI

Jodi Dawn Secret

Mental Health Counselor · Silver City, NM

NPI number 1174124119 Active

Practice location

3200 32nd Street Byp
Silver City, NM 88061-7802

Fax (575) 597-2651

Mailing address

3201 N Mann Dr
Silver City, NM 88061-5945

Other practice locations

  • 415 W Hemlock St, Deming, NM 88030-3622 · (575) 694-5478

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XT-CTL0214061 (NM)
Mental Health Counselor Primary 101YM0800XCMH0225081 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1174124119

Jodi Dawn Secret's National Provider Identifier is 1174124119, issued on Nov 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Silver City, NM. The record was last updated on Jun 8, 2022.