Individual
CAROLYN TJOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
901 W ALAMEDA ST, SUITE 25, SANTA FE, NM 87501-1681
(505) 955-9436
(505) 955-9437
Mailing address
PO BOX 23302, SANTA FE, NM 87502-3302
(505) 577-1919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC 3086
NM
101YP2500X
Professional Counselor
Primary
LPCC 3086
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57335273
—
NM
Enumeration date
07/05/2006
Last updated
01/21/2014
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