Individual
SUSANNAH C DOURMASHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1660 OLD PECOS TRL STE A, SANTA FE, NM 87505-4779
(505) 548-9023
(505) 531-8020
Mailing address
1660 OLD PECOS TRL STE A, SANTA FE, NM 87505-4779
(505) 548-9023
(505) 531-8020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0211141
NM
Other
Enumeration date
04/17/2017
Last updated
03/31/2026
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