Individual
ALISHA NICOLE SHELBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPAT
Contact information
Practice address
1129 PASEO DE PERALTA, SANTA FE, NM 87501
(505) 690-3134
(505) 988-8910
Mailing address
1129 PASEO DE PERALTA, SANTA FE, NM 87501
(505) 690-3134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0094521
NM
Other
Enumeration date
04/06/2007
Last updated
07/17/2013
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