Individual
MICHELLE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1829 HANO RD, SANTA FE, NM 87505-3304
(505) 699-1374
Mailing address
1829 HANO RD, SANTA FE, NM 87505-3304
(505) 699-1374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0199031
NM
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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