Individual
SOPHIA C LAURITSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 629-7225
Mailing address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 629-7225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0144901
NM
Other
Enumeration date
09/17/2009
Last updated
09/19/2018
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