Most Relevant Information
Provider Data
| NPI Number: | 1003245952 |
| Provider Name: | KATY MINDER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 08412 |
Most Important Dates
| Enumeration Date: | 11/01/2013 |
| Last Updated: | 11/01/2013 |
Provider Practice Location
109 S BULLARD ST
SILVER CITY
NM
880615313
Practice Location Phone/Fax
| Phone: | 5755192629 |
| Fax: |
Provider Mailing Location
109 S BULLARD ST
SILVER CITY
NM
880615313
Provider Mailing Phone/Fax
| Phone: | 5755192629 |
| Fax: |