Individual
KUMARA ELIAS HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, LADAC
Contact information
Practice address
11 CALLE MEDICO SWEET 4, SANTA FE, NM 87505
(505) 903-8617
Mailing address
1943 SAN ILDEFONSO, SANTA FE, NM 87505
(505) 903-8617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0180331
NM
101YM0800X
Mental Health Counselor
0187601
NM
101YP2500X
Professional Counselor
Primary
CCMH0205181
—
Other
Enumeration date
05/03/2016
Last updated
08/07/2019
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