Individual
MS. JUDY LYNN HINE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW LCSW LPCC
Contact information
Practice address
314 DON FERNANDO ST, TAOS, NM 87571-5953
(575) 751-7037
Mailing address
314 DON FERNANDO ST, TAOS, NM 87571-5953
(575) 751-7037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0078031
NM
101YP2500X
Professional Counselor
0078031
NM
104100000X
Social Worker
I05887
NM
1041C0700X
Clinical Social Worker
Primary
C05887
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34624279
—
NM
Enumeration date
05/12/2006
Last updated
07/21/2022
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