Individual
DONNA BLUMENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1919 5TH ST STE O, SANTA FE, NM 87505-6012
(505) 461-1219
Mailing address
5304 CIRCITA DEL NORTE, SANTA FE, NM 87507-4932
(602) 931-1710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CCMH0207031
NM
101YM0800X
Mental Health Counselor
—
NM
101YP2500X
Professional Counselor
Primary
CCMH0207031
NM
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134582612
—
NM
Enumeration date
04/01/2016
Last updated
11/15/2023
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