Individual
NAKEESHA HAELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 PASEO DEL CANON W STE A, TAOS, NM 87571-6943
(575) 758-5857
(575) 758-5860
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-4375
NM
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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