Search › New Mexico › 101YM0800X

Jacquelyn Speake, LPCC

NPI 1417189887 · on the registry since 2009

Practice

Address
114 N Behrend Ave
Farmington, NM 87401
Phone
(505) 326-2736
Fax
(505) 325-2127
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico