Doctor Name: | MS. MARTHA ANN RIMMEL |
NPI Number: | 1457584294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LMHC |
License Number: | 0164101 |
Business Practice Address: | 1960 N Date St Truth Or Consequences, NM - 879013701 |
Business Phone Number: | 5758947662 |
Business Fax Number: | 5758947930 |
Mailing Address: | Po Box 370, HATCH |
State: | NM |
Postal Code: | 879370370 |
Phone Number: | 5752673280 |
Fax Number: | 5752671747 |
NPI Enumeration Date: | 08/27/2009 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0164101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |