PRISCILLA A JAKE

GALLUP, NM
NPI1811442932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  CTB-2022-0810)
Enumeration Date2016-08-18
Last Update Date2023-04-05
Business Address
PRISCILLA A JAKE
300 W NIZHONI BLVD STE A
GALLUP, NM 87301
Phone number: 505-722-9470
Mailing Address
PRISCILLA A JAKE
300 W NIZHONI BLVD STE A
GALLUP, NM 87301-5766
Phone number: 505-722-9470
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