Individual
NAOMI TENA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 LOS LENTES RD SE STE 3, LOS LUNAS, NM 87031-6018
(505) 865-3350
Mailing address
1121 COTTONWOOD CT SE, LOS LUNAS, NM 87031-6895
(505) 610-9674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0219041
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/16/2017
Last updated
08/05/2021
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