Individual provider · Type 1 NPI

Laurie Mae Grant Desilvera

Mental Health Counselor · Santa Fe, NM

NPI number 1972790194 Active

Practice location

5312 Jaguar Dr
Santa Fe, NM 87507-1827

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XT -0107501 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1972790194

Laurie Mae Grant Desilvera's National Provider Identifier is 1972790194, issued on Oct 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Oct 2, 2007.