Jacquelyn Speake, LPCC
NPI #1417189887 in Farmington, New Mexico
Provider Information
- NPI Number
- 1417189887
- Entity Type
- Individual
- Name
- Jacquelyn Speake, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCC
- Enumeration Date
- Aug 18, 2009
- Last Updated
- Aug 18, 2009
Practice Location
- Address
- 114 N BEHREND AVE
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-8414
- Phone
- (505) 326-2736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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