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Individual

ALICIA BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 CAMINO DEL CAMPO, SANTA FE, NM 87501-1801
(970) 580-9717
Mailing address
107 CAMINO DEL CAMPO, SANTA FE, NM 87501-1801
(970) 580-9717

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2025-0305
NM

Other

Enumeration date
11/06/2017
Last updated
07/07/2025
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