Individual
CLARISSA HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7447 BARTLETT NE, SUITE 1C, ALBUQUERQUE, NM 87109
(505) 990-8576
Mailing address
PO BOX 65660, ALBUQUERQUE, NM 87193-5660
(505) 903-7282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/12/2024
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