Individual
KILA SOPHIA HILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
17 SCENIC MESA RD, SANTA FE, NM 87508-1458
(505) 919-8037
Mailing address
17 SCENIC MESA RD, SANTA FE, NM 87508-1458
(505) 919-8037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0185581
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09703101
—
NM
Enumeration date
10/13/2011
Last updated
03/22/2017
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