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1558032318
GERIANNE DALYNN ONTIVEROS
PORTALES, NM
NPI
1558032318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM T-CTL0219161)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
GERIANNE DALYNN ONTIVEROS LMHC
101 W 4TH ST
PORTALES, NM 88130-6306
Phone number: 575-777-2311
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Mailing Address
GERIANNE DALYNN ONTIVEROS LMHC
1814 S AVENUE A
PORTALES, NM 88130-7335
Phone number: 575-777-2311
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