Individual
MS. VIRGINIA BOHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
50 ALONDRA RD, SANTA FE, NM 87508-8316
(505) 466-1197
Mailing address
50 ALONDRA RD, SANTA FE, NM 87508-8316
(505) 466-1197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0070841
NM
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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