Individual
MARIE NICCOLE TORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1600 LENA ST, BUILDING C-9, SANTA FE, NM 87505-3891
(505) 629-9081
Mailing address
125A MESA VISTA ST, SANTA FE, NM 87501-1731
(505) 629-9081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0119901
NM
101YP2500X
Professional Counselor
9123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57322261
—
NM
Enumeration date
08/13/2007
Last updated
05/08/2013
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