Most Relevant Information
Provider Data
| NPI Number: | 1003249871 |
| Provider Name: | YASNA QUIVEORS MA, LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | CCMH0197371 |
Most Important Dates
| Enumeration Date: | 08/15/2013 |
| Last Updated: | 06/22/2021 |
Provider Practice Location
2904 SUDDERTH DR
RUIDOSO
NM
883456338
Practice Location Phone/Fax
| Phone: | 5754913300 |
| Fax: |
Provider Mailing Location
207 KEATS CT
SICKLERVILLE
NJ
080811112
Provider Mailing Phone/Fax
| Phone: | 5058031811 |
| Fax: |