Individual
MR. JONATHAN HARTSHORNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
3200 CARLISLE BLVD NE, SUITE 129, ALBUQUERQUE, NM 87110-1600
(505) 889-4921
Mailing address
3200 CARLISLE BLVD NE, SUITE 129, ALBUQUERQUE, NM 87110-1600
(505) 889-4921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5699
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01075772
—
NM
Enumeration date
05/03/2006
Last updated
07/08/2007
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