Individual
LEONARD TISCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1904 SAN ILDEFONSO RD, SANTA FE, NM 87505-3344
(505) 471-4985
Mailing address
1904 SAN ILDEFONSO RD, SANTA FE, NM 87505-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1751
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1751
STATE LICENSE NUMBER
NM
Enumeration date
03/18/2008
Last updated
03/18/2008
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