Individual
MS. PAMELA MAULDIN TOMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1400 SUDDERTH DR, RUIDOSO, NM 88345
(575) 630-0571
Mailing address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(575) 630-0571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB20230316
NM
Other
Enumeration date
03/18/2009
Last updated
05/18/2023
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