Individual
MRS. CRYSTAL THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
Mailing address
9509 CORDOVA AVE NE, ALBUQUERQUE, NM 87112-1345
(505) 907-3948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2022-0916
NM
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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