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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTY TABISULA

Active Sole Proprietor

MISTY TABISULA is a Marriage & Family Therapist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1255812624 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · ALBUQUERQUE, NM

Registration Details

NPI Number
1255812624
Provider Type
Individual
Gender
Female
NPI Issued
Aug 23, 2018 (7.9999892276335 yrs)
Last Updated
Sep 29, 2020
Licenses
LPC008435 (GA)
MFT001348 (GA)
CMF0197861 (NM)
CCMH0201901 (NM)
Sole Proprietor
Yes

Practice Information

Address
320 OSUNA RD NE STE H4
ALBUQUERQUE, NM, 871075955
Browse NM providers · Browse ZIP 87107
Phone
5053452778
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Counselor

Other Marriage & Family Therapist Providers in ALBUQUERQUE, NM

Name Credential NPI
MS. BRENDA N SUSMAN LMFT 1891784476
MRS. SARAH LYNN LEE LMFT 1558350918
ROBIN BERMAN LMFT 1982695995
CATHERINE PATRICIA GARCIA LMFT 1114901683
MADELAINE E VAN EPP LMFT 1467436790
DEANNA JOAN SMITH LMFT 1871564773
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.