DARRYL BENALLY

GALLUP, NM
NPI1366064446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-18820)
Enumeration Date2020-05-12
Last Update Date2020-05-12
Business Address
DARRYL BENALLY
1040 PATTON DR
GALLUP, NM 87301-7425
Phone number: 505-330-9591
Mailing Address
DARRYL BENALLY
1040 PATTON DR
GALLUP, NM 87301-7425
Phone number: