Individual
DIANNA L BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
801 ENCINO PL NE STE E1, ALBUQUERQUE, NM 87102-2645
(505) 715-8525
(505) 272-7751
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-9543
NM
Other
Enumeration date
09/02/2009
Last updated
08/04/2025
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