Individual
ELIZABETH SUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1337 GUSDORF ROAD, SUITE E, TAOS, NM 87571
(575) 752-4297
(575) 751-7237
Mailing address
1337 GUSDORF ROAD, SUITE E, TAOS, NM 87571
(575) 758-4297
(575) 751-7237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0170561
NM
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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