Individual
TESS AMY GAUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
735 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8493
(505) 866-2356
(505) 866-2349
Mailing address
PO BOX 518, LOS LUNAS, NM 87031-0518
(505) 866-2356
(505) 866-2349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0150541
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44842
—
NM
Enumeration date
02/28/2013
Last updated
02/28/2013
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