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Individual

TISHAWNA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-4957
(505) 271-4957
Mailing address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CTB-2024-0755
NM
101YM0800X
Mental Health Counselor
Primary
CTB20240755
NM
101YP2500X
Professional Counselor
Primary
CTB-2025-0805
NM
390200000X
Student in an Organized Health Care Education/Training Program
CTB20250805
NM

Other

Enumeration date
04/23/2025
Last updated
05/08/2026
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