Individual
NICOL BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1264 RODEO RD, SANTA FE, NM 87505-6816
(505) 982-2129
Mailing address
7 HIDALGO CT, SANTA FE, NM 87508-8898
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-CTL0207491
NM
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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