Individual
GABRIELLE M VIETHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1421 LUISA ST STE Q3, SANTA FE, NM 87505-4073
(505) 988-1431
Mailing address
7 ALTURA RD, SANTA FE, NM 87508-8329
(505) 988-1431
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0708
NM
Other
Enumeration date
09/16/2006
Last updated
08/09/2024
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