Individual
MR. THOMAS S. BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
540 MAIN STREET, DELTA, CO 81416, DELTA, CO 81416-8141
(505) 681-1140
(505) 888-7943
Mailing address
4308 CARLISLE BLVD NE STE 209, ALBUQUERQUE, NM 87107-4849
(505) 681-1140
(505) 888-7943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3377
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3377
NEW MEXICO STATE COUNSELING LICENSE
NM
Enumeration date
07/25/2007
Last updated
07/21/2022
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