Individual
MRS. ANTONELLA DEFILIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1010 MARQUEZ PL STE D8, SANTA FE, NM 87505-1724
(505) 577-0420
Mailing address
1857 CAMINO LUMBRE, SANTA FE, NM 87505-5631
(505) 577-0420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0171821
NM
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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