Individual
SUSAN M HEUMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPCC
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 986-9633
(505) 820-1209
Mailing address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 986-9633
(505) 820-1209
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0115081
NM
101YP2500X
Professional Counselor
37PC00294300
NJ
101YP2500X
Professional Counselor
Primary
PC004129
PA
Other
Enumeration date
04/10/2007
Last updated
09/29/2008
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