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

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Active Sole Proprietor

Professional Counselor · SANTA FE, NM

Registration Details

NPI Number
1720510811
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2017 (9.0658227099346 yrs)
Last Updated
Jan 27, 2021
Licenses
19-329 (TN)
A15556 (NC)
Sole Proprietor
Yes

Practice Information

Address
1010 MARQUEZ PL
UNIT D
SANTA FE, NM, 875051693
Browse NM providers · Browse ZIP 87505
Phone
5055018485
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Art Therapist
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in SANTA FE, NM

Name Credential NPI
TERESA ANN FLANAGAN LPCC 1194725697
ROSEMARY ANN NOWAK M.A. 1629043138
PHYLLIS E. LEAVITT M.A. 1861460594
MS. MARTHA WALTER DAVIS LPCC 1710935275
MS. PAULA DANETTE GREEN MS, LCPC 1225084304
CAROLYN TJOLAND LPCC 1053342659
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.