Individual
DR. CHRISTELLA MATA-HARTSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,NCC,LPCC
Contact information
Practice address
1526 SIERRA NORTE LOOP NE, RIO RANCHO, NM 87144-2520
(505) 503-5978
(505) 212-1873
Mailing address
1526 SIERRA NORTE LOOP NE, RIO RANCHO, NM 87144-2520
(505) 503-5978
(505) 212-1873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0172811
NM
101YP2500X
Professional Counselor
Primary
0182901
NM
Other
Enumeration date
03/20/2015
Last updated
11/28/2016
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