Individual
ELIZABETH CAROVILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 BEN HUR DR, SANTA FE, NM 87501-2308
(505) 690-0040
Mailing address
1624 BEN HUR DR, SANTA FE, NM 87501-2308
(505) 690-0040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2024-0851
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2021
Last updated
01/17/2025
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