Individual
ANN MARIE M BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2439
Mailing address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0259
NM
Other
Enumeration date
10/07/2022
Last updated
03/01/2023
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