Individual
ANNA BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
16A TAYEH HUU U, NAMBE PUEBLO, NM 87505
(505) 930-2784
Mailing address
1726 AGUA FRIA ST, SANTA FE, NM 87505-0980
(207) 216-3272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0212661
NM
Other
Enumeration date
01/02/2018
Last updated
01/17/2024
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