Individual
TANYA C HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMHC
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0128581
NM
163W00000X
Registered Nurse
Primary
R37429
NM
Other
Enumeration date
05/11/2010
Last updated
08/16/2010
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