Individual
TAMA NIELSEN-TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
540 CHAMA ST NE STE 2, ALBUQUERQUE, NM 87108-2017
(505) 265-0753
Mailing address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0181591
NM
101YM0800X
Mental Health Counselor
T-0176881
NM
Other
Enumeration date
10/14/2015
Last updated
05/19/2021
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