Individual
DR. PAMELA JO HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.MIN., LPC
Contact information
Practice address
903C 5TH ST., ESTANCIA, NM 87016-0807
(505) 384-2777
(505) 384-2204
Mailing address
P.O. BOX 132, CORONA, NM 88318-0132
(505) 849-2924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0090511
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090511
LPC
NM
Enumeration date
06/29/2007
Last updated
07/08/2007
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