Individual
TIMOTHY VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 PONDEROSA, SANTA FE, NM 87508-6601
(505) 426-4030
Mailing address
2711 PLAZUELA SERENA, SANTA FE, NM 87505-5270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0169211
NM
Other
Enumeration date
09/17/2014
Last updated
01/24/2024
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