Individual
LARISSA M WEINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
25 WAPITI LOOP, TAOS, NM 87571
(575) 779-1484
Mailing address
PO BOX 3139, TAOS, NM 87571-3139
(575) 779-1484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/29/2020
Last updated
02/03/2023
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