Individual provider · Type 1 NPI

Suquala Marie Gant

Counselor · Ruidoso, NM

NPI number 1326327743 Active

Practice location

206 Porr Dr
Ruidoso, NM 88345-6713

Call (575) 630-0571 Map

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1326327743

Suquala Marie Gant's National Provider Identifier is 1326327743, issued on Aug 16, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ruidoso, NM. The record was last updated on Aug 16, 2011.