Individual
TAMARA LIZ RIVERA HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1318 SIDEWINDER RD NE, RIO RANCHO, NM 87144-2587
(770) 866-4382
Mailing address
1318 SIDEWINDER RD NE, RIO RANCHO, NM 87144-2587
(770) 866-4382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-CTL0207281
NM
221700000X
Art Therapist
—
—
Other
Enumeration date
01/27/2017
Last updated
02/03/2020
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