| Rebecca Jane Knowles | |
|
204 Autumn Sage Ln Chaparral NM 88081-7732 | |
| (575) 824-4388 | |
| (575) 824-0521 |
| Full Name | Rebecca Jane Knowles |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 204 Autumn Sage Ln, Chaparral, New Mexico |
| Authorized Official Name and Position | Rebecca Jane Knowles (SOLE PROPRIETOR) |
| Authorized Official Contact | 5758244388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Jane Knowles 204 Autumn Sage Ln Chaparral NM 88081-7732 Ph: (575) 824-4388 | Rebecca Jane Knowles 204 Autumn Sage Ln Chaparral NM 88081-7732 Ph: (575) 824-4388 |
| NPI Number | 1255639332 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255639332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0080801 (New Mexico) | Primary |
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