Individual
TASIA YARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BMS CSW
Contact information
Practice address
700 FRIEDMAN AVE, LAS VEGAS, NM 87701-4231
(505) 454-5100
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0273
NM
Other
Enumeration date
01/06/2015
Last updated
10/28/2024
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