SHASTA SKYLER RAEL

CLOVIS, NM
NPI1023254091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0134861)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: NM  0118461)
Enumeration Date2008-12-22
Last Update Date2015-03-25
Business Address
-- SHASTA SKYLER RAEL
1100 W. 21ST
CLOVIS, NM 88101
Phone number: 575-742-2620
Mailing Address
-- SHASTA SKYLER RAEL
1100 W. 21ST
CLOVIS, NM 88101
Phone number: 575-769-2345